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JUL 26 IOU id: Jlu <br />• - Application <br />S°U7Ne� - for- <br />°� Certificate of Appropriateness <br />Is, a , a $istoric Pretervution Commission of South Bend & St- Joseph County <br />I+ 227 West Jefferson Blvd - R.%,1 1123 — South Bend fN 46601-1930 <br />Phone: 219-23:-9795 Fax: 219-235-9578 e -Ionil: historic a michiana.org <br />A Certified Local Government <br />OFFICE(ISEONLY.»»>U0 v0'rC(I&IVU,I'LANYE.YTRIESCOWAINEDw'ruisBOX«««OFFICEUSEONLY <br />Data Received !R -r � G 20.!�Y' Application Number: toot- 0 ?e2 <br />Past Reviews: 0 'YES (JA'ii • r tas/ earn. n �NO <br />Zoning Type: <br />Staff Approval authorlred by:__.__..__ <br />Historic Commission Review Date: <br />Local Landmark <br />National Register District c-6 -•r. <br />Lot Sicc <br />•title: <br />nNational Landmark <br />L"41 Historic District rk- : "",-/X <br />XC <br />Certificate of Appropriateness: <br />11 Denied El rabled Seat To Committee <br />11 Approved and issued <br />Address of Property for proposed work: <br />S th -B en ' d <br />°0 <br />209 North Shore Drive <br />W1i YMrAYWllifl N(mA/ <br />City: ou Township: <br />Name of PropertyOw»er(s):/.at.-r,- Eric and Mary Morgan <br />Address of Property Owner: 209 North Shore Drive <br />Contractors) Name: Gary Van Overberghe <br />Contract Company Name- Van Overberghe Builders, <br />Inc. <br />Contractor Address: 53922 Olive Road city: South Bend, IN 46628 <br />Contractarrs Phone No: 219-289-0341 ' Owner's Phone No: 219-246-0639 <br />Current Use of Building: Single family <br />(S—.h r wmurct.l-Go.o.—I. Industrial. parent.cin <br />Type of Building Construction: Wood frame <br />- (Wood f--Rika-.Ylone- Srrel. Co.erctt.fltkarl <br />Proposed Work: El Inkind [] Landscape l"New tK ft placement(auta-und/ <br />(rnNw shot om ka: way b. ch.ck.d/ <br />Dcmolition (Complerinn of St TWAte Form Also Re4uired) <br />Description of Proposed Work- New direct vent fireplace on east <br />side of residence, new 161 garage door in lieu of <br />two 81 garage doors, replace roof <br />Owner/Contractor: Fax: 219-289-1408 a-mzil: <br />rlj.yBlc. ZAAo <br />(//-sy/tgna�tu `o weer Signature *(Contractor <br />APPLICAT101\ jfQUlUFMLN'1S ARE LISTED ON REVERSE SIDE. <br />Any and alt business of this office I handled vitt a-nulll and firms with lens! preference m U.S. Aral! <br />