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" / [,,is in r j_-, co(:� we, — <br />Date: REQUEST TO PURCHASE, OR TO REQUEST PERMISSION <br />FOR THE TEMPORARY USE OF CITY -OWNED PROPERTY <br />Angela Jacob <br />Clerk of the Board of Public Works <br />City of South Bend <br />225 West Jefferson Blvd County -City Building, Room I316 A��r <br />South Bend, IN 46601 <br />Dear Ms. Jacob: <br />I am interested in (circle one): 1 purchasing; R 2) applying for temporary use of, a vacant lot or lots owned by the <br />City of South Bend. The lot(s) is a ows: <br />Key Number: Address: <br />Parcel 18 5104 3615 705 Howard Street <br />I own property next to this/these lot(s) X at 701 Howard <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 />A new home is to be constructed on 701 Howard. To accommodate the size of the home and setback requirements <br />for the new home, we would like to combine 701 with 705 gt&eo , <br />I understand that there is a public bidding procedure that the City of South Bend has to follow for the sale of City - <br />owned pmpray. and I further understand that in addition to the purchase cost, there is the cost of advertising in the <br />newspapers, both of which I am responsible for if I am the successful bidder. I am posting the required $100 deposit <br />fee with this request, payable to the City of South Bend. Ef I am the successful bidder, the $100 deposit will be <br />applied towards the total sale price. If I do not submit a bid on the lot or lots, and if no other bids are submitted, I <br />will forfeit the $100 deposit, which will be applied to advertising and staff costs. There is no deposit requiredfor a <br />request for the temporary use of City -owned property. <br />I further represent that I do not currently owe any delinquent taxes, assessments, penalties, interests or costs <br />attributed to a tax sale of real property, either in St. Joseph County or in any other County in the State of Indiana. <br />You may reach me at (Please print): <br />Phil Byrd Northeast Neighborhood Revitalization Organization <br />Street Address 803 Lincoln Way West City & Zip: South Bend, Indiana <br />Phone Number: 574 289 1066 ext 209 <br />Sincerely, <br />OL-'P�l ;�X—� <br />Phillip Byrd <br />cc George Addler Community Development <br />