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OWNER <br />CONSENT FORM <br />IJ�Wje �fJ jX1,41 �4YI,1f 66f, <br />�'V e��i) ,the <br />Undersigned, hereby grant the Historic Preservation Commission of South Bend and St. Joseph <br />County the permission to have the building (or buildings) located at• <br />Declared an architectural and /or historic landmark under ordinance. <br />I 0 do also approved of the classification of this building/buildings under <br />Group e Standards. <br />Signat�fre of Property Owners <br />174 <br />Other Authorized Signature <br />Dateo <br />4 <br />Date <br />Comments: & n,C� w <br />