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JUL-14-2006 10 55 COMM & ECON DEV 574 235 9021 P.23i25 <br />Name: M ~fRK ~RKE~ <br />Address: 33cx~ kJ, ~A-Ivl~[~" ~; <br />City, State, Zip: ~~~ B~vD,si~l ~~~t9 <br />Telephone: shy-a3.32s~-7 <br />31. Please indicate the name, address, and telephone number of the person who <br />will work with Employment Training Services (ETS) for employee recruitment, <br />and sign the ETS form attached to the peti#ion if the real tax abatement is for <br />warehouse or industrial developments. . <br />Name: <br />Address: <br />City, State, Zip: <br />Telephone: <br />WHEREFQRE, Petitioner requests that the Common Council of the City of South <br />Bend, Indiana, adopt a declaratory resolution designating the area described herein <br />to be an economic revitalization area for purposes of tangible real property tax <br />abatement consideration, and after publication of notice and public hearing, <br />determine qualifications for an economic revitalization area have been met, and <br />confirm such resolution. Petitioner herein hereby verifies that the required $250.00 <br />filing fee to cover processing and administrative costs pursuant to Section 2-84.7 of <br />the Municipal Code of the~City of South Bend has been paid in full. <br />Name of Property Owner(s): <br />So~-~ -ff ~~D CHac~~~'~--rte ~~v ~ ~v P ~c ~ ~s~- <br />~~ <br />By: <br />(Si ned ame) ~E5=D~~T- <br />(Typed or printed name and capacity of signor if <br />signed by an agent or representative of the <br />owner.} <br />F~il~d in Cleric's Office <br />i) ' +ii.u~,ui: <br />(Rev 8/I E•'U_ ~Cr::3, ;;.; ^~''- <br />'] CITY CLchK, 5.~. Ei~P7, !"J. <br />