Laserfiche WebLink
�`�' "-`ice '' 'l�� •t"` •r� �� <br />APPRUIti011 <br />r< IIItiI't)ltlf' l'lZl:;�+t;lti':i l "Ct.}1 Ct)NINLPtiSION x stir <br />of ` OL I H REND & 10% Jt)`• EPH t"'Ol.'Z1'l' yy` .., rl �, , <br />1 25 S. k'111 'Blvd.. S�mth Bend. IN 46601 <br />iit €j : %:;r1t'1`, ".�Ii() 3 iiiiitltlt }i €: I�: rtl :i.i(.`•tal;'(;:T'11'IlYitiIiI� .t CLIP inill`x,htln <br />:. 5 75235A798 11 5752 3555 78 <br />I)I'F7C1:tSf tii'!_1`: >= ,, i)oNtl('t'(r'itTivrFANN A rnt�' artist? {1� �: <br />Date l;erc'ise,t: I a 3 __.._. Applicadon'lumber: ,11 - _._.�� <br />I':aMltiLiiLLY El NFs alt;; %tnfl.:actRr,r«:3 _. ._..__._.._.__ \() <br />`;to p prcaN "a) :a itlllt;t'i!t't! by. ..- ---._ -.._. lisle: <br />Ilistoric t'rescr%ation f',>atarati"it,ra wNiew late: <br />l.oi•tat !._i ?arlaaaarl� �� l,t,c:i! lli�ttarie I)i�trit'i rt +:,r;:) A <br />XatinnA l.andara:artc National R"ister District ( ) <br />Ccrtiticate of iwroliriatcne"S: <br />El Denied EI •!'artird Ei !ient'I'a (Aunmiitee tpprovin! am i"ned: <br />Mute lira) <br />...i {Itlrc,s or l'rollea °ty fcar llrolatacett LLtarlt: t y I <br />L 'JJ'':r1 r� ?I ?Ji't.'t' SJr'Sdi :L'f173iE' �11)' [ !i% 3. OfTt'� <br />Name of Prt jerly M nerls }: _ .. Lr �. � � ....... + �� � �� �� Phone ; ?: .. � ' 3 > <br />� ............... <br />:lddre% or Prat w rly 0%nerts : I € :..... l .. ._.. �' <br />t,tyJY' l NIl ?7At'1• -- :11?'c' v :Fume 01 1 y Code <br />, <br />Lame orco"b actor((): l: 0 1 � t�k �� 2.. ��� ..��.1...1. �` �'t I'hc;rtr ?`:u �..(...� ...'.� � 05 <br />Contr:ict Crttat!' Natne: <br />Address of Contract ! - <br />t'1 'VI"n"bf'1' u ?iie -Ci l lip 0 , (k , ) <br />C:urrelit Use of Buildiaq: PA � �" t <br />-- - -. _.. <br />_ ° '{ <br />(Jt, , "IJ;tI'L.'lit! tJt�:'f.'1'Jhli!'li I ?'1(�el�l!';'il! I'Eic't1J7f !'1..'1 <br />' I'} la€' taf llnilalita <„C..ciliatrnetitan: <br />/ ....... ... ... <br />ftl (:rsei f'7'tt1J'•'t.' w'!c'I sr " <br />Proposed tip'€ ?rl:: t lrt -10ind � I:andw alie ❑ e pla C elli ell t (ilc %: •' il - ililci � Demolition <br />De5c rililion of lyt'( posed Work: A - 12 "Ve <br />._._ 1... _.._..-dfyiil .a .. t ._. l ., � .. 1 t _ , '1C . � . - � .. - _ <br />A-- EPA fick t � t.. ` <br />- 7 <br />pr <br />) �.�� ` ...._ 2 � i d e- tit•ilt• ptf Cam ° <br />ttia'- ��..catitr:iit { >r Fax _ ..,s I .... �'`T Y ...�.:• '+ �_.... "'. C.,.�Y t,' ._._..._.__.. .. ___. <br />I,'93it�1 'Ill !?'i'S fnomd .. <br />z "� <br />_ .... ...... <br />Signal erM" ' n atlire of Contractor <br />_.._,i,Pl'l"lC:tTlf)ti Rl :Qt+lttt`:MEN l AW'. 1:[ AT--,D ON REVERSE SIM..'- <br />