Laserfiche WebLink
t1aY . 7. 20120 3 09PM:' rts tic SUUTH t No -3376 P. 1 ei <br />Application <br />FOR. <br />Ccr#i;�Ccate o. fAppropiut wss <br />iQS'I'URIC I'ItESMA'I'ION COY M SSSI ON <br />of SOU I BEND & ST. ?OSEt-GOMT <br />125 s. Lafayetk Mvd., Soutb Bend, IN 46601 <br />bctp:/IwwwAawpbcou ► =.conrdeptWCHPr . <br />p: 574.235-9798 f4 574.235-9578 e: SBS repo(, w st Jasa *lmus <br />i, r i... �i.. ,,. .. <br />OFFILTtl�tit7oN� .eccooeOl79C8(i�'OtYIT <br />ao1 Jo /.7-_ 4570 7A <br />tate t w�a. , % r App4aft Nma <br />fetlialml 11 ya M*Oftaotjww n - NO <br />ftf(Approrul 89606W bs: Uhl <br />H4darls Pr�watian CaaRmietioa Yie�► batt ' <br />Lead [. said lc � Loml Hwnrk Det mw o <br />NsttemlLmdt►�rte � Ntdeas�i'4e�tarDietrldtx�d <br />CcrtlOdtte of App peblLum <br />mlW Tebied a Sad To Cemsattse Apgra W and l ei: <br />Mlem pr" <br />Addressfo Psopctttr for pr*"W rr & 1 Z: - <br />Nome dpropa* owneKs),. <br />rNomeofPropertyowneKs): ..►/,� S'clf�'f!�i�d'� �` Looe : 7t/- �S� <br />Address of Pro"dy OW#er(* . <br />. tSircetJt5an6e�StreetNao�--Ctq`—ZtPC�s1 " <br />Name of Cantrscta*): A (` % Paas#: Z-:5 s. - 7 q <br />ContrictCaotpauyNrun►m ��i� �.,.tJC,� � . <br />AddrW of Coatrsd Cotmpsuy: <br />' (SftdXagov—SlreetN=v—Ctg-zpCam <br />Com"tUlloofBoodbyp-- <br />Tm of ou iag Com muton: <br />PMppaed Warts; [-In-Kind <br />(mre than ane bax my be a16eck4 <br />Dewd000 of Empowd Wank; <br />—A ,,�c�2n�� <br />C�.1CXa, S%UC.� <br />(Rrocd t -Connote--tNhrrj <br />0 iallodscape Q New w ogbcemont (not fn`s Detbotittan <br />OvatrXeaftudergu : , 75f3/"- e miir. � s 1 Slv711/ c <br />(,Qtf rift amrespund wuh a* orae designee) <br />c e i d me, a Y :��2 : 61 PModror <br />Stgo:►tnre of OWn�r swmWearcentritbr <br />