HomeMy WebLinkAboutEncroachment - Finnies Next Door 233 S Main - South Side of Wayne Street.4 r-
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APPLICATION
TO ENCROACH ONTO PUBLIC RIGHT-OF-WAY
THE BOARD OF PUBLIC WORKS MUST HAVE FOUR (4) WEEKS PRIOR NOTICE,
PLANS AND SPECIFICATIONS MUST BE ATTACHED
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Date: July 10, 2017
Location of Encroachment: t¢ ,� [/ n
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,PROPERTY -OWNER'S INFORMATION
Business PE
Name: t t'1n i P:5
Address: 233 South Main Street
City/State/Zip: South Bend, lndialia 46601
C Attach Photo of Site
Signature - -a' w _ Here
Print Name;
(Oj• See Attached Photo)
INSTALLER'S INFORMATION
Business Name: Custom Awnhi
Address: 1251 Third Street
CityiState/zip: O ceola, Indiana 46561
Signature ZJIM jLA
Print Name:
Encroachment
Description:
CL Road to R/W Line
Distance of Rt W
Beals
Caims Entrance Cann y
Size of
`3 Encroachment Z
Amount in R/ W 2
The above inibrmation is to the best oimy knowledge accurate and correct with regard to the encroachment in tite City's right-of-
way.
Placed By:
This Encroachment should not be
reloc-ted because
It has been determined that this encroachment in no way impairs the highway or with the free and safe flow of traffic thereon, and
it is recommended that the encroachment be permitted to remain.
APPROVt1L
President Member ember
Member �^
Member
Date
RETURN FORN•I TO:
Board of Public Works
1316 County -City Building
227 West Jcl'rerson Botilevard
South Bend, IN 46601
Phone: (574) 235-9251 v Fa;x: (574) 235-9171 o L•:-Mail: ptiblictvks@sotitl)bendin.gov
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