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CITY OF SOUTFi BEND <br />DEPARTMENT OF PUBLIC WORKS <br />Street/Alley Vacation; Form <br />A <br />227 W. JEFFERSON BOULEVARD PHONE 574/ 235-9251 <br />SUITE 1316 COUNTY -CITY BUILDING FAX 574/ 235-9171 <br />SOUTH BEND, INDIANA 46601 TDD 574/ 235-5567 <br />*THiS FORM MUST BE REVIEWED BY T11E CITY ENGWEERING DEPARTMEN'r PRIOR TO GRAN'11NG A RADIUIS MAP* <br />Submission Date: <br />9/21/17 <br />Applicant Name: <br />Property Address: <br />DHA - Mike Danch Phone #: 574-234-4003 <br />for Robert Henry Corp. Email: mdanch@danchharner.com <br />404 S. Frances, South Bend, IN <br />Applicant property information: E] Residential Commercial ❑ Industrial <br />Describe the general alley location with boundaries (ex. <br />Church PI, between E. Colfax Ave & E. (LaSalle Ave): <br />See Accompanyi I ng docs for description and map <br />Is your property adjacent to the alley of interest? <br />nE Yes ❑ No <br />Do you own all adjacent properties to the alley of interest? <br />El Yes Fol No <br />If no, use the attached table to provide the following information for all affected property owners: Name, Address, Consent <br />for the proposed alley vacation <br />Reason for street/alley vacation and proposed use: <br />See accompanying documents <br />Does the existing alley provide garage access to other property owners? <br />❑ Yes E] NOReq,Site visit <br />Does the alley receive daily traffic excluding your own use? <br />no 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 />El Yes FBI No <br />OFFICE USE ONLY: <br />Board Recommendation for the proposed alley vacation: Yes No <br />/JA <br />Board of Public Works Authorized Signatures: <br />Version 1.0 [6/14/20161 <br />