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Application <br />- <br />for. <br />C'ertif ICate of Appropriateness <br />Historic Preservation Commission of South Bend & St. Joseph County <br />227 West Jefferson Blvd - South Bend IN 46601-1830 <br />Phone: 219-235-9798 Fax: 219-235-9578 e-mail: historic@mieWana.org <br />A Certified Local Government <br />i <br />OFFICE USE 0NLY»»»D0 NOT COMPLETE ANY ENTRIES CONTAINED IN TiitS BOX«««OFFICE USE ONLY <br />Date Received /0 —0-2- 200-2— Application Number: 20OZ-/OC7-2- <br />Past Reviews: r_1 YES (a4TsoFwrREvtEIV) rA// <br />NO <br />Staff Approval authorized by: Title: <br />Historic Commission Review Date. <br />❑ Local Landmark ❑ National Landmark <br />❑ National Register District (ham.): <br />Local historic District (Nam ): , <br />Certificate of Apprroopriiateness- <br />❑ Denied ❑ Tabled ❑ Sent To Committee <br />❑ Approved and issued 20 <br />Address of Property for proposed work: 219 West North Shore Drive <br />Stnu Nuwbrr wdSrretN Q <br />City: South Bend Owner's Phone No: 547-288-9459 <br />Name of Property Owner(s):mRimn Winifred Wyatt <br />Address of Property Owner: 219 West North Shore Drive- South Bend, Indiana 46617 <br />Contractor(s)Name: Alan Loeffelholz, Project Manager <br />Contract Company Name: Van Overberghe Builders, Inc. <br />Contractor Address: 53922 Olive Road City: South Bend, Indiana <br />Contractor's Phone No: 574-289-0341 <br />Current Use of Building: Single family <br />(Single Family. klulti-Family - Commercial. Government - Industrial - Vacant- etc <br />Type of Building Construction: Clay tile and plaster <br />(Wood Frame • Brick - Stone - Steel - Concrete- Other) <br />Proposed Work: ❑ Inkind ❑ Landscape ❑ New ❑ Replacement(notia-kind) <br />(mare than one bas may be checked) ❑ <br />Demolition <br />Description of Proposed Work: Parapet wall repair: <br />- Remove loose plaster. <br />- Add EIFS plaster over whole parapet wall. <br />- Add prefinished galvanized steel coping cap over existing parapet cap. <br />Owner/Contractor: Fax: 574-289-1408 e-mail: <br />(!'!ur office will correspond with only one designee) , <br />laeldW <br />Signature of Owner Signature of "antra o fr. fe(.J` eo, <br />APPLICATION REQUIREMENTS ARE LISTED ON REVERSE SIDE. <br />