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I4. Historic Nam <br />6. Address <br />621—Li.ncolnway E. <br />INDIQFIA HISTORIC SITES AND STRUCTURES INVENTORY <br />621 LiNCOLNWAY � :r,., <br />wF-sT <br />�,�, <br />5. Townsh <br />Preliminary No. <br />Port 141-3:�7-56741 <br />7. City 8. Quad Name <br />South Bend, IN. 46618 South Bend East - <br />State of Indiana Department of Natural Resources . state Form 16822/ Revised 1987 <br />i;?111 <br />11111,111)0IM11 <br />,1-41 <br />9. Common Name 10. Visible 11. Endangered Explain <br />CRYe6 ❑ No I ❑ Yes (R No <br />12. Ownership Owner's Address (If different) <br />❑ Public CBPrivate <br />18. Integrity <br />13. Use Present Past <br />14. Category <br />Residence ® KI <br />® Building(s) <br />Commercial ❑ ❑ <br />E -District <br />❑ ❑ <br />❑ Site <br />❑ ❑ <br />❑ Structure <br />❑ Object <br />19. Time Period(s) <br />1892 <br />1 Removals <br />15. Surveys / Legal Protections <br />Edgewater Place local <br />Historic District <br />16. Location Notes / Legal Description <br />Fuerbringer.Lot 6 <br />18-3030-1096 <br />(1980) <br />20. Style(s) 121. Architect / Builder <br />eNBrn,aea3%w4-/ Quenn Anne / Free Classic <br />22. SPECIFY ALTERATIONS <br />ReplacementI Additions <br />Alum. st. windows <br />23. DESCRIPTION <br />Stories Two <br />(Plan Irregular Chim: one off center, brick <br />(Foundation Brick & Concrete <br />wars Asphalt siding <br />Roof Hip w/gable projections <br />Porches 3/4 length open front porch; denticulated frieze <br />Openings Si nql e 1 eaf , wood-gl azed; wood storm door <br />Double hung 1/1 <br />(interior <br />Grounds/ Outbuildings Located on northeast side of L.W.E. i n a mixed resident/ <br />commPrr.isl arpai <br />I25. No. of Contributing Resources 1 I26. No. of Non-contributing Resources 0 <br />Li <br />3 <br />17. Condition <br />18. Integrity <br />❑ Excellent <br />❑ Unaltered <br />❑ Good <br />)0 Altered Major <br />[3 Fair <br />❑ Moved <br />❑ Deteriorated <br />Date moved <br />❑ Ruins <br />Other <br />Asphalt shingle siding <br />24. SITE PLAN <br />WA <br />SRI <br />27. Envlrohment Residential on busy street <br />N <br />