Laserfiche WebLink
NO. 11 <br /> °a <br /> ST. JOSEPH COUNTY HEALTH DEPARTMENT <br /> 227 W. Jefferson Blvd. SEAL <br /> .: 9th Floor County City Building <br /> South Bend, Indiana 46601 <br /> Phone: (574) 235-9721 <br /> Fax: (574)235-9497 <br /> PROPERTY TRANSFER STATEMENT OF COMPLIANCE <br /> Water Supply and Wastewater Disposal Systen <br /> s <br /> Address: 2014 S. Michigan Street <br /> City South Bend State: IN ZipCode 46693 <br /> Reference: <br /> Applicant Willairn Dobslaw. <br /> Representing: <br /> Date Issued: 04/19/2011 Expires six (6)months after date issued <br /> 10'n�4 L?l 41--Z -A• 10 Based on the information provided by the applicant,the Health Department <br /> has determined that it appears the seller or their authorized agent has met <br /> the procedural requirements of the Source Water Protection Ordinance for <br /> the transfer of properties in St.Joseph County. The Health Department does <br /> Health Officer not endorse or approve any inspections or tests conducted to meet the <br /> requirements of the Ordinance <br /> tai <br /> 0 <br /> Am - UT � <br /> tai • r`-- w`• P1 i., <br /> M m0r"- m to N <br /> m n u5 ro tj :W LJ �^v G7 & En I•+ <br /> C.7�C• r � Ry <br /> woo M <br /> N C� Ob M }{y <br /> P %wo N •-� r11 <br /> m <br /> w 0 <br /> •n x <br />