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Name: ~~y ST~~/kE <br />Address: tea/ W • Gt~inf/~NGr~'.~/ ~• <br />City, State, Zip: ~'ovrs/ ~~~~, .Liv ~~/66~ <br />Telephone: 5~5~- d ~f6 - S3 / ~ <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 petition if the real tax abatement is for <br />warehouse or industrial developments. <br />Name: <br />Address: <br />T~ /f/I yczS <br />City, State, Zip:snvTy ,mac=~/D ~ li/ c~66~ <br />Telephone: ~-~~_ a~f` _ ~r3l~. <br />WHEREFORE, 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 />~oy~~ ~o~.N~~, ..T/G . <br />By: .~ <br />(Signed me) /+~~ , <br />C7i4RY STCN~ E ~ c~/~f ~i/ANGrIL ©/~l'lC~.. <br />(Typed or printed name and capacity of signor if <br />signed by an agent or representative of the <br />owner.) <br />7 <br />(Rev 12/29/06) <br />/l/js . <br />a~-o0 <br />td, ._ .~ <br />~ p _ ~ r~ ^ rl <br />4C~~i5F2 ~~~~i~~C <br />CITY Cf.E~i;C, SCt. 6~~~C, !N. <br />