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Ny APPLICATION FOR CERTIFICATE OF APPROPRIATENESS <br />nORIC PRESERVATION COMMISSION OF SOUTH BEND AND ST. JOSAII COUNTY <br />xuno 118 COUNTY -CITY 8LDG, suUzx| o0yn, IN 46601 (219) 23 14 <br />�^-/-'�� Owner's Name' <br />Mailing Address &'//I <br />/of owner ` <br />Telephone: ~����- <br />SoR|PTIV/Moduo porch rehabilitation -- <br />� "inches atthe tope, ' _ <br />| <br />approximately 30'moz/ ',umu improvementsmooprimed and painted. Retain existing <br />cement base. Repair since "fouudotiom.'8epair existing fence and form 6tpour new steps and <br />-- <br />sidewalk. / -- <br />[] continuation Sheet [] Addendum to Certificate <br />The following information as upblioo6le to the particular situation and the <br />standards designated shall also b� ew6m�ttn6 as part of th1oopplioat1on' <br />Structural drawings and specifications, or site plan, [lour <br />plans, elevations, cross section plans, renderings, diagrams' or <br />other such plans. . <br />Landscaping plans. <br />specifications. <br />Photographs. <br />Where the proposed project includes e sign, <br />the location of tk 1 n tr <br />� o en on the o o uo tu <br />re or <br />lettering, 6nJ the method of illumination. - <br />/ <br />a scale drawing showing <br />property, the type of <br />/ <br />other such information as the Hiotor1o'Preoervot|on Commission may <br />require under the proy1aions of the Zoning Ordinance of the city of <br />South Bend or the St. Joseph County Zoning Ordinance, as applicable. <br />The [1]1ng of this applicatipn shall be accompanied by a foo of three <br />dollars (*a.00), payable to the Historic Preservation Commission to cover <br />the costs incurred in reviewing and processing this application. [-I— <br />I <br />~ . . 4��1 ���1r^�k�65t�' <br />Applicant's Printed Name <br />� <br />FOR ofFiCs­Utt'&L� ` <br />' <br />COMPLETED APPLICATION RECEIVED (date)- CASE #/ <br />/ <br />II <br />RF»|Ew AND DECISION OF THE H|STOR|C PRESERVATION COMMISSION <br />in-kind Rap|u8emant <br />Continuation Sheet <br />. <br />Rff X�U <br />[] Appropriate <br />[] Addendum <br />[] Inappropriate <br />[] Partial Approval Date: <br />� <br />' <br />Historic Preservation Commission. <br />l <br />L ice to xoolicmnt; Approval of your application and iaommnoa of e <br />Certificate of Appropriaten as in no vmv signifies compliance with health, <br />uurmtv r general buildine/zn�ine stanJapdo. Neither does it release or <br />relieve' from compliance with alY'opdea a.nd regulations of the city of <br />South Bend, St, Joseph County, or the State of Indiana. The nonm1us1"n ox- <br />prena|v d1aclaimo any liability resulting from safety or haalth 6eNcts in <br />any structure for which a Certificate of Appropriateness has been inumod. <br />Apwrov'al of your application e�piros oYv months from the mso|n)mw date. <br />For projects not substantially completed, contact HPC for ronmvnlm, <br />