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ORDINANCE NO. <br /> PETITION FOR A COMBINED HEARING <br /> City of South Bend, Indiana <br /> I (we) the undersigned make application to the City of South Bend Common Council for the <br /> voluntary annexation of land into the City of South Bend, Indiana,and for the zoning of that land as <br /> herein requested. <br /> 1) The subject property is located at: <br /> The West 80.58 ft.of 52933 Shellbark Avenue, South Bend,Indiana 46628. <br /> 2) The property Tax Key Number(s)is/are: <br /> 04-1050-1221 <br /> 3) Name and address of property owner(s)of the petition site: <br /> Beacon Health System,Inc. <br /> 615 North Michigan Street <br /> South Bend, Indiana 46601 <br /> (574)647-7370 <br /> E-Mail Address:N/A <br /> 4) Name and address of contingent purchaser(s),if applicable: <br /> N/A <br /> E-Mail Address N/A <br /> 5) It is desired and requested that this property be rezoned: <br /> From(County): R Single Family District <br /> To(City): CB Community Business District <br /> 6) This annexation and rezoning is requested to allow the following use(s):Retention Basin for <br /> Drainage for a Medical Office facility and uses under the CB Community Business zoning <br /> classification. <br /> 7) Number of persons residing on property to be annexed:N/A <br /> 8) If applicable,a detailed description and the purpose of the variance(s)being requested:N/A <br /> 9)A statement on how each of the following standards for the granting of Variances is met:N/A <br /> 10) If not clearly shown on the Preliminary Site Plan,a site plan showing the requested variances shall also <br /> be submitted.N/A <br /> 11)Application for subdivisions should be obtained from the office of the Area Plan Commission. <br /> The Petitioners do plan to Re-subdivide the shown property into a single larger lot. <br /> 12)This Petition is signed by at least(CHECK ONE): <br /> _x_a.One-hundred percent(100%)of the owners of the land in the territory sought to be annexed; OR <br />