4. St. Joseph County Drainage Board
5. Date*
   Date
7. Petition to Establish a Regulated Drain
9. STATE OF INDIANA
   ST. JOSEPH COUNTY
10. )
    )
11. COUNTY DRAINAGE BOARD
13. The undersigned petitioners for the establishment of a new Ditch*
15. Located in the Township of:*
    -- Select One --CentreClayGerman GreeneHarrisLibertyLincolnMadisonOlivePennPortageUnion Warren
17. Petitioners are the owners of at least ten (10%) percent in acreage of the land owners affected by said proposed drain.
19. General route of the proposed drain:*
21. That in the opinion of the petitioners the cost, damages and expenses of the proposed improvement will be less than the benefits which will result to the owners of land likely to be benefited thereby.
23. That in the opinion of the petitioners the proposed improvement will be needed to improve the public health and/or be of public utility.
25. The name and address of the attorney, if any, representing the petitioners:
27. The petitioners shall pay the cost of notice and all legal costs if the petition is dismissed. The petitioners shall post a bond sufficient to pay the cost of notice and all legal costs in case the improvement is not established.
29. PETITIONERS LISTED BELOW
31. Petitioner #1: Name*
32. Petitioner #2: Name
33. Petitioner #3: Name
35. Petitioner #1: Address*
36. Petitioner #2: Address
37. Petitioner #3: Address
39. Petitioner #1: City, State, Zip*
40. Petitioner #2: City, State, Zip
41. Petitioner #3: City, State, Zip
45. Petitioner #4: Name
46. Petitioner #5: Name
47. Petitioner #6: Name
49. Petitioner #4: Address
50. Petitioner #5: Address
51. Petitioner #6: Address
53. Petitioner #4: City, State, Zip
54. Petitioner #5: City, State, Zip
55. Petitioner #6: City, State, Zip
Leave This Blank:


57. 1. Receive an email copy of this form.
58. Email address

    This field is not part of the form submission.

59. Submit Submit and Print

* indicates a required field