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Date: <br />Angela Jacob <br />Clerk of the Board of Public Works <br />City of South Bend <br />225 West Jefferson Blvd <br />County -City Building, Room 1316 <br />South Bend, IN 46601 <br />Dear Ms. Jacob: <br />I am interested in purchasing a vacant lot, or lots, owned by the City of South Bend. The lot(s) is/are as follows: <br />Key Number: Address: <br />Lot I C/t�z/ g C E <br />Lot 2 <br />Lot 3 <br />Lot 4 <br />I own property next to this/these lot(s) X <br />I do not own property next to this/these lot(s) <br />The reason for my interest in this/these lot(s) is to (please print): <br />To build a two car garage and add a driveway. <br />I understand that there is a public bidding procedure that the City of South Bend has to follow, and I further <br />understand that in addition to the purchase cost, there is the cost of advertising the in the newspapers, both of which <br />am responsible for if i am the successful bidder. i am posting the required S 100 deposit fee vvith this request. If I <br />am the successful bidder, the $100 deposit will be applied towards the total sale price. If I do not submit a bid on <br />the lot oY lots, and if no other bids are submitted, I will forfeit the $100 deposit, which will be applied to advertising <br />and staff costs. <br />You may reach me at: Street Address <br />(Please print) <br />City & Zip:_ <br />Plione Number: <br />125 N. Carlisle Street <br />South Bend, Indiana 46628 <br />574— 2871071 Work/ 574— 246-09B2 Home <br />Sincerely, l (9 1 j_ <br />F.•D.eiTAISHf1REIDprr/(ILarf/tManageurerrtlCityPropertyFilesl/IrtPurchaseRequestForm.doc <br />