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CITY OF SOUTH BEND <br />DEPARTMENT OF PUBLIC WORKS <br />227 W. JEFFERSON BOULEVARD <br />SUITE 1316 COUNTY -CITY BUILDING <br />SOUTH BEND, INDIANA 46601 <br />PHONE 574/ 235-9251 <br />FAX 574/ 235-9171 <br />Street/Alley Vacation Form <br />Submission Date:_ <br />Applicant Name: Phone <br />ALva A ---Email: <br />„a q <br />Property Address: , d �� q ..� © w <br />�� ,.. :m.............. �� O <br />Applicant property information: esidential ❑Commercial ❑ Industrial <br />Describe the general alley location with boundaries (Ex: Church PI, between E. Colfax Ave & E. LaSalle Ave): <br />Is your property adjacent to the alley of interest? Yes ❑ No <br />Do you own all adjacent properties to the alley of interest? E3 Yes '­ <br />Does the existing alley provide_arage access to other property owners? ❑ Yes — <br />Does the alley receive daily traffic excluding your own use? ❑ Yes <br />Would the vacation hinder public access to any of the following: a church, school, or Yes... <br />any other public building or place? <br />Reason for street/alley vacation and proposed <br />4/0 /V /1 �-b <br />OFFICE USE ONLY: <br />Board Recommendation for the proposed alley vacs" <br />Board of Public Works Authorized Signatures: <br />Version 2.0 [11/19/20181 <br />