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CITY OF SOUTH BEND <br />227 W. JErrEasoN BOULEVARD <br />DEPARTMENT OF PUBLIC WORKS <br />PHONE 574/23S-9251 <br />, <br />r'" `. SUITE1316000NTV-CITVBUILDING <br />Street/Alley Vacation Form <br />FAx 574/235-9171 <br />- -i SOUTH SEND, INDIANA 46601 7DD 574/235-5567 <br />*THIS FORM MUST BE REVIEWED BY THE CITY ENGINEERING DEPARTMENT PRIOR TO GRANTING A RADIUS MAP* <br />Submission Date: $c t ' 21sr -tole <br />Applicant Name: <br />Phone #: <br />r�r` �inde�e zSq-gzs8 <br />Email: <br />Property Address: 631 PA r <br />k- 7Evenv� , $own, i3entl (� 4661ly <br />Applicant property information: ® Residential <br />❑ Commercial ❑ Industrial <br />Describe the general alley location with boundaries (ex. park A,, n� <br />Church PI, between E. Colfax Ave & E. LaSalle Ave): C bB t v✓CEn i2 j Vg r5 i de ay.lj N(a„ }pH <br />�rA{t-WG9t ally <br />Is Your property adjacent to the alley of interest? FFvv�� <br />Do you own all adjacent properties to the alley of interest? 4 Yes ❑ No <br />El Yes— 9 No <br />If no, use the attached table to provide the following information for all affected Property owners: <br />Name, Address, Consent for the proposed alley vacation <br />Reason for street/alley vacation and proposed use: <br />C4rs drive -Iva close to ,,I hoHse A04 W Jurioi,J � ^1 t {hbor <br />in Wi rrlC r <br />Would. Ilte to tme, 17tu 14A7h aid fjArrig <br />Does the existing alley provide garage access to other Property owners? <br />OnL WtiO Want[ ® Yes ❑ No <br />Does the alley receive daily traffic excluding Your own use. ' vacQ v ,® Yes El No <br />Would the vacation hinder public access to any of the following: a church, school <br />other public building or place? , or any❑ Yes ,X No <br />OFFICE USE ONLY: <br />Board Recommendation for the proposed alley vacation: <br />❑ Yes ❑ No <br />Board of Public Works Authorized Signatures: <br />Version 1.0 [6/34/20161 <br />