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. ~ ._ _.. ~ <br />BOARD OF ZONING APPEALS <br />OF <br />THE CITY OF SOUTH BEND <br />PETITION <br />~PPLI CANT' S NAME ~ G( }~( C~ ~~~~°. ~ PHONE ~ ~'/ ~~ ~~ ~ ~ ~ ~~ <br />'-ADDRESS ~ (~ l? I C' /`' <br />~ ~ .SO ~ ~ e,~D f~ ~l6 6~~ <br />ADDRESS r <br />~ ~~ <br />OF PROPERTY ~ ~a Q ~ 5 ~ ~ ~ ~ ~ ~ ~~ <br /> _ ~ <br /> ZONING OF PROPERTY <br />?RESENT <br />OWNER' S NAME ~x/ ~' ~ d ' ~ -e ~ PHONE^~ ~ ~~=~~~rb <br />ADDRESS ~~ Z © (~ i L° l~ ~ ~ ~~~ ~r ~~`~9 <br /> <br />~OUNSEL OR CONSULTANT PHONE <br /> <br />~DDRE S S <br />JATURE OF APPEAL, VARIANCE, OR SPECIAL EXCEPTION: <br />V .n~ a i ,n ~. s /Y T In f ~ ~ ~ ll~ e. f/~ <br />attest under the penalties for perjury, that the foregoing representations are <br />:rue . <br />signature of Property Owne•r(s) <br />