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i APPLICATION FOR CERTIFICATE OF APPROPRIATENESS <br />tIISTORIC PRESERVATION COMMISSION OF SOUTH BEND AND ST. JOSEPH COUNTY <br />ROOM 1123 COUNTY -CITY BLDIG. SOUTH BEND, IN 46601 (219) 235-9798 <br />Owner's Name: il.r'Lr <br />ddress of > /.,% Si � ��/�/� •�� -Mailing Addrless <br />Property of Owner, <br />Designation: '�`�J�" "�`.lf Telephbne: -23h'- •?IS— <br />DESCRIPTION OF PROJECT: <br />Rebuild original front porch with brick installing original porch columns and con�iponent. <br />Remove vinyl siding and repair andipaint wood siding and related wood components. Tuck <br />pointing of brick, repair and installation of doors; repair of windows. Form an pour new front — <br />sidewalk and seed lawn. — <br />[] Continuation Sheet [] Addendum to Certiticate <br />The following information as applicable to the particular situation and the <br />standards designated shall also be submitted as part of this application: <br />Structural drawings and specifications, or site plan, floor <br />plans, elevations, cross section plans, renderings, diagrams, or <br />other such plans. <br />Landscaping plans. <br />Contractor specifications. <br />l' Photographs. <br />i� <br />ij Where the proposed prdject includes a sign, a scale drawing showing <br />the location of thelsgn on the structure or property, the type of <br />lettering, and the method of,illumination. <br />other such information as the Historic Preservation Commission may <br />require under the provisions of the Zoning Ordinance of the City of <br />South Bend or the St. Joseph County Zoning Ordinance, as applicable. <br />The filing of this application shall be accompanied by a fee of three <br />dollars ($3.00), payable to the Historic Preservation Commission to cover <br />the costs incurred in reviewing and processing this application. [] <br />1 Applicant's signature Applicant's Printed Name <br />FOR OFFICE-USE_ONLY <br />COMPLETED APPLICATION RECEIVED (date): (CASE it: <br />b <br />REVIEW AND <br />DECISION OF fHE HISTORIC <br />PRESERVATION COMMISSION <br />r� <br />REVIEW: <br />[] In-kind Replacement <br />[] Appropriate [] Inappropriate <br />L <br />Comments: <br />• ! <br />[] Continuation sheet <br />[] Addendum <br />1 <br />DECISION: <br />[] Approved �[] Denied <br />[] Partial Approval Date: <br />Comments: <br />Historic Preservation Commission. <br />K Notice to Aaalicant: Approval of your application and issuance of a <br />Ce certificate.of Appropriateness in no way signifies compliance with health, <br />sa safety or general buildinp/zoning standards. Neither does it'release or <br />re relieve you from compliance with all codes and regulations of the City of <br />So south Bend, St. Joseph County, or the State of Indiana. The commission ex - <br />pr pressly disclaims any liability resulting from safety or health defects in <br />an any structure for which a Certificate of Appropriateness has been issued. <br />Ap Approval of your application expires six months from the DECISION date. <br />Fo For projects not substantially completed, contact HPC for renewals. <br />