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Tier One Fee for one or more Tier One items . . . . $50 Tier Two Fee for one or more Tier Two items . . . . $100 If you request a Tier Two item(s), Tier One can added at no additional cost Please note, we will not fill out verification forms created by other entities. Please allow 10-14 business days for processing. Applicant Information City of South Bend Zoning Verification Request Name: Phone: Email: Mailing Address: Zoning Verification Confirmation that Current / Proposed Use is Permitted Zoning of Adjacent Property Conformance Violations Variances and Special Use and Exceptions Approvals Rebuild Confirmation Other Information Information Request (Check all that apply) Property Information When requesting zoning verification for multiple properties, list each parcel. If more than 2 parcels, attach a list of the remaining parcels. If all properties do not have the same zoning district and the same use, submit a separate application for each. Parcel ID Address City State ZIP We can only confirm if there are/are not conformance issues on file. Stating that there are none on file is not confirmation that the property is in conformance. For this type of confirmation, you will need to apply for a rebuild letter separate from this application. Parcel ID Address City State ZIP Street City State ZIP Information requested as “Other” may fall under information that we can only provide through an alternative application. “” Return Completed Form and Payment Email: zoning@southbendin.gov Mail: 215 S Dr. Martin Luther King Jr. Blvd., Suite 500, South Bend, IN 46601 Make checks payable to City of South Bend We can only state that if a structure(s) were destroyed, it (they) could be rebuilt to the development standards in the current ordinance. For confirmation that the existing structures can be rebuilt as they exist, you will have to submit a separate application for a rebuild letter. We can only confirm if there are / are not violations on file. Stating that there are none on file is not confirmation that the property is not in violation. We can only confirm if there are/are not approved variances, special uses/exceptions for the property. Describe: What is the current / proposed use?