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CITY OF SOUTH BEND OtnVTR ��to 227W. JEFFERSON BOULEVARD PHONE 574/235-9251 <br />DEPARTMENT OF PUBLIC WORKS o SUITE 1316COUNTY-CITY BUILDING FAX 574/235-9171 <br />`i - I SOUTH BEND, INDIANA 46601 TDD 574/ 235-5567 <br />Street/Alley Vacation Form . <br />tW ' <br />'THIS FORM MUST BE REVIEWED BY THE CITY ENGINEERING DEPARTMENT PRIOR TO GRANTING A RADIUS MAP* <br />Submission Date: <br />12/27/16 <br />Applicant Name: <br />Jason Ruiz <br />Phone M 612-636-9780 <br />Email: Jason.ruiz@nd.edu <br />Property Address: <br />830 Forest Ave., South Bend, IN 46616 <br />Applicant property information: ® Residential ❑ Commercial ❑ Industrial <br />Describe the general alley location with boundaries (ex. <br />Church PI, between E. Colfax Ave & E. LaSalle Ave): <br />1`t EW Alley N of Manitou Place, S of Riverside Drive on W Side of <br />NS alley between Park Ave and Forest Ave. <br />Is your property adjacent to the alley of interest? <br />® Yes ❑ No <br />Do you own all adjacent properties to the alley of interest? <br />❑ Yes ® 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: Traffic in alley is very close to house and provides no access to other <br />properties, would like to make lawn/garden with adjacent neighbor. <br />Does the existing alley provide garage access to other property owners? <br />❑ Yes ® No <br />Does the alley receive daily traffic excluding your own use? <br />® Yes ❑ No <br />Would the vacation hinder public access to any of the following: a church, school, or any <br />other public building or place? <br />[I Yes ® No <br />OFFICE USE ONLY: <br />Board Recommendation for the proposed alley vacation: <br />Board of Public Works Authorized Signatures: <br />IT/-Y.. M Nn <br />Version 1.0 [6/14/20161 <br />