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Application <br />eyMlSSlpyr4 <br />SpUTfly <br />for �c r <br />Certificate of Appropriateness `- <br />Historic Preservation Commission of South Bend & St. Joseph County <br />1865 227 West Jefferson Blvd - South Bend IN 46601-1830 1 <br />Phone: 219-235-9798 Fax: 219-235-9578 e-mail: historic@michiana.org <br />A Certified Local Government <br />O££ICEUSEONLY--DO NOT COMPLETE ANY ENTRIES CONTAINED IN TRIS BOX—OFFICE USEONLY <br />Dale Received JCE—li`20=— Application Number. 20OZ 0sl6--2— <br />Put Reviews: AYES (wrforu mvmm OCXOJer, -ZQO/ ❑ NO <br />Staff Approval authorized by: Title: <br />Historic Commission Review Date: ,5-* -,Zb -zc4- <br />__ _ ❑ Local Landmark ❑ National Landmark .. <br />❑ National Register District (N-0: <br />XIAcal Historic District pv o. <br />Certificate of Appropriateness: <br />❑ Denied ❑ Tabled ❑ Sent To Committee <br />❑ Approved and Issued 20 <br />Address of Property for proposed work: 209 North Shore Drive <br />.4n«rNrdar NSa.I Nom. / . <br />City: South Bend Owner's Phone No: 574-246-0639 <br />Name of Property Owner(s):(Pwun Eric and Mary Morgan <br />Address of Property Owner: 209 North Shore Drive <br />Contractor(s)Name: Gary Van Overberghe <br />Contract Company Name: Van Overberghe Builders, Inc. <br />Contractor Address: 53922 Olive Road I City: South Bend, Indiana 46628 <br />Contractor's Phone No: 574-289-0341 <br />Current Use of Building: Single family <br />(Sup&F—lj-U.4-l--:ly•V arn!-rtt. <br />Type of Building Construction: Attic/roof ventilation <br />(Woad Flww-Br" • S—C-Sud -Carom. OAa) <br />Proposed Work: ❑ Inkind ❑ Landscape gNew ❑ Replacement(—w4i d) <br />(loon Nm. oro bu 1W b, chad) ❑ _ . <br />Demolition <br />Description of Proposed Work: Remove half circle glass windows on <br />gable ends of house and replace with half circle louvered vents <br />for proper roof ventilation- no other options available. <br />Owner/Contractor: Fax: 574-289-1408 email, gary@vanoverberghebuilders <br />(Ita, f...a--jw,d».a-1y oa. danyn,q <br />Signalurc of Owner-SigWurc of Contract <br />APPLICATION REQUIREMENTS ARE LISTED ON REVERSE SIDE. <br />