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FROM : EM <br />FAX NO. : 2192341317 <br />Mtoric Cotamkston Review Date: <br />I.atilltndmark <br />" ❑ National jisg9tcr District rx�. <br />' ❑Local Btstoric Dijtrirt rt�.�: <br />Ctrdficata of Appraprtatrnds: <br />Dcdod <br />Approved and issued <br />I <br />NatimW Liodmark <br />0 TOW <br />Apr. 09 2002 08:34PM P2 ' <br />Set1i 7o Comtdttre <br />2D <br />• I � 1 � <br />Address of Property for proposed wurk; / l 1 1, 'eep , S � <br />�.rr 14�,IV..da.wi N+t1 <br />City H.&, Ovme Phone No: Vi/ -303L q <br />Lei <br />Name atPraperty Owacr(s):rrRan <br />Address of Property Owner; <br />Contractor(s) Name: 13,7v5 <br />Contract CompM Name: <br />Contrarior Address: 60 ; A, l I- City: 3, <br />1 <br />Contractor's phone No:, <br />Current Use of Building: ,ow <br />e y - MrtY•Frtml� - Canupurri. +l • rr.o,uw.r • r.rl,td►�a3 • Yac.q! - de <br />Type of Building Construction: {,. no rr-a rt -e <br />(WON J ;), . orld . Sme.• &W • clamav - oe,rr) <br />Proposed Work: ❑ Xifkind Landscape ❑ New RtplAcement�.;..iz-4 <br />❑ Demolition <br />Description of Proposed Work: �r��13 �,., �, :.tP.9� G Sil�i•v�i w w o„ /� <br />tya � , /..0 /. + /_'a 4—r9 7, -L�. 1 / <N� ' 00e . ee.c- Se.-A- <br />OS- ��Q /Sl..� 9 A., it . l ?r lPr�r /A•j <br />OwrnerlCoatractor: Fax: /x/15) --;, 3 y 308" v <br />mm g2irt oid corrcrw d rdM n'gy axe aigMci <br />Si�ostur<ee[ � SlpDatpmc7/trotltrutor <br />/ APPLICATION REQUI}tEivMENIS ARE LISTED ON VEVERSE SIDE. <br />