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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 #: b p <br />Email: <br />Property Address:, <br />Applicant property information: Residential ❑ 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? d Yes ❑ No <br />Do you own all adjacent properties to the alley of interest? ❑ Yes No <br />Does the existing alley provide garage access to other property owners? ❑ Yes © No <br />Does the alley receive daily traffic excluding your own use? 0 Yes ❑ No <br />Would the vacation hinder public access to any of the following: a church, school, or ❑ Yes ® No <br />any other public building or place? <br />Reason for street/alley vacation and proposed use: <br />OFFICE USE ONLY: <br />Board Recommendation for the proposed alley vacation: ❑ Yes No <br />Board of Public Works Authorized Signatures: _.................................................... <br />.. <br />Version 2.0 [11/19/2018] <br />