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APPLICATION FOR CERTIFICATE OF APPROPRIATENESS <br />X HISTORIC PRESERVATION COMMISSION OF SOUTH BEND AND ST. JOSEPH COUNTY <br />ROOM 1123 COUNTY -CITY BLDG. SOUTH BENZ}, IN 46601 (219) 235-9798 <br />f'-te: 7-/-y `i I . Owner's Name:i7/d✓/S.— <br />Addres's of /, /,") S% Z&eX 'Mailing Address <br />Property <br />Design at ion: 115;'. _St •.�7/SE'/'ti' Si <br />DESCRIPTION OF PROJECT: <br />of Owner <br />Telephone: <br />5� 5, -,73z <br />American four square building to be scraped and painted. Repair side walls at front entry steps, <br />work to match existing color and size of motor joints. Aluminum overhangs to be removed. <br />Wainscoting to be repaired as needed. Repair balustrade on south side balcony. <br />[] Continuation Sheet [] Addendum to Certificate <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 />i <br />structural drawings and specifications, or site plan, floor <br />plans, elevations, cross section plans, renderings, diagrams, or <br />other sudh plans. <br />Landscaping plans. <br />Contractor specifications. <br />Photographs. <br />Where the proposed project includes a sign, a scale drawing showing <br />the location of the sign on the structur? or property, the type of <br />lettering, and the method of illumination. <br />I <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 I and processing this application. [] <br />Applicant's signature �`,� �J��AppIicant's Printed Name <br />a <br />FOR OFFICE -USE -ONLY <br />COMPLETED APPLICATION RECEIVED (date):CASE <br />I I <br />REVIEW AND DECISION OF THE HISTORIC PRESERVATION COMMISSION <br />EVIEW: [] in-kind Replacement <br />Comments: I <br />[] Continuation Sheet <br />I <br />I[] Denied <br />DECISION: [] Approved <br />Comments: <br />[] Appropriate <br />[] Addendum <br />[] Partial Approval <br /># • j�q -o �o l -�" i <br />[] Inappropriate <br />Date: <br />Historic Preservation Commission. <br />otice to Anolicant: Approval of your application and issuance of a <br />Certificate of Appropriateness in no way signifies compliance with health, <br />safety or general building/zoning standards. Neither does it release or <br />relieve you from compliance with all codes and regulations of the City of <br />South Bend, St. Joseph County, or the State of Indiana. The commission ex- <br />pressly disclaims any liability resulting from safety or health defects in <br />any structure for which a Certificate of Appropriateness has been issued. <br />Approval of your application expires six months from the DECISION date. <br />For projects not substantihlly completed, contact;HPC for renewals. <br />