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APPLICATION FOR CERTIFICATE OF APPROPPIATENESS ISTORIC PRESERVATION COMMISSION OF SOUTH BEND AND ST: JOSEPH COUNTY ROOM 1123 COUNTY -CITY BLDG. SOUTH BEND, IN 46601 (219) 235-9798 e: 7-:-%% Owner's Name: ddress of azcC ) Mailing Address Property i of Owner Designation: `7D Jl' ��-"%i� �%' Telephone: DESCRIPTION OF PROJECT: ' Extensive interior and exterior rghabilitation of this structure returning it to a single family home. Siding to be removed and exterior walls repaired and painted. Removal of side entry door. Restoration of porch and installation of 8" wood porch columns and hand rails with 2' spindles on centers. Door and windows to be repaired. New front sidevyalk to be formed and poured. _ [] Continuation Sheet [] Adde9dum'to Certificate The following information as applicable to the particular situation and the standards designated shall also be submitted as part of this application: Structural drawings and specifications, or site plan, floor plans, elevations, cross section plans, renderings, diagrams, or other such plans. i Landscaping plans. ' Contractor specifications. Photographs. Where the proposed project includes a sign, a scale drawing showing the location of the sign on the structure or property, the type of lettering, and the method of illumination. i other such information as the Historic Preservation Commission may require under the provisions',of the Zoning Ordinance of the City of South Bend or the St. Joseph County Zoning Ordinance, as applicable. The filing of this application shall be accompanied by a fee of three dollars ($3.00), payable to the Historic Preservation Commission to cover the costs incurred in reviewing and processing this application.,1 Applicant's s.i gnaturgZ_Y&.pjrApp 1 i cant's Printed Name I FOR OFFICE • USC'04 Y COMPLETED APPLICATION RECEIVED (date): t CASE It: 111�-b"70j � R. EW AND DECISION OF THE HISTORIC PRESERVATION COMMISSION REVIEW: [) In-kind Replacement [] Appropriate [] Inappropriate Comments: (] Continuation Sheet (] Addendum DECISION: [] Approved [],Denied [) Partial Approval Date: Comments: I Historic Preservation Commission. ..Notice to Annlicant: Approval of your application and issuance of a Certificate of Appropriateness in no way signifies compliance with health, s safety or general building/zoning standards. Neither does it release or r relieve you from compliance with all codes and regulations of the City of S South Bend, St_. Joseph County, or the State of Indiana. The commission ex- p pressly disclaims any liability resulting from sAfety or health defects in a any structure for which a Certificate of Appropriateness has been issued. A Approval of your application expires six months from the DECISION date.' F For projects not substantially completed, contact HPC for renewals.