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Application <br />- far - <br />Cert tate 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: Iiistoric@tnicliiana.org <br />A Certified Local Government <br />OFFICE USF. ONLY»»»DO NO'r CONIPIXTE ANY ENTRIES CONTAINED IN THIS n0X«««0F'F10E USE ONLY <br />Date Received /0 —0-2- 20 O—.z Application Number: 2002- ___p <br />1007-:L <br />Past Reviews: F1 YES (turaopwrnevisrn 34, <br />NO <br />Staff Approval authorized by: Title: <br />Historic Commission Review Date: <br />❑ Local Landmark ❑ National Landmark <br />❑ National Register District iv—.): <br />Local Historic District <br />Certificate of Appropriateness: <br />❑ Denied . ❑ Tabled ❑ Sent To Committee <br />❑ Approved and issued 20 <br />Address of Property for proposed work: 219 West North Shore Drive <br />SneerM..bw a.dSreerH d <br />City: South Bend Owner's Phone No: 547-288-9459 <br />Name of Property Owner(S):rrRtxr) 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 Na: 574-289-0341 <br />Current Use of Building: Single family <br />(Singte family - ktuGD-Fatuity - Commercial - Government - Industrial - Vacant- etc. <br />Type of Building Construction: Clay tile and plaster <br />(Wood frame- Brick -Stant- Suet -Concrete - Otherl <br />Proposed Work: ❑ Inkind ❑ Landscape ❑ New ❑ Replacementfnatin-siad) <br />furors than one bax may be checked) ❑ <br />Demolition <br />Description of Proposed Work: Parapet wall repair: <br />- Remove loose plaster. <br />- Add SIPS plaster over whole parapet wall. <br />- Add prefinished galvanized steel coping cap over existing parapet cap. <br />Owner/Contractor: rax: 574-289-1406 e-mail: <br />(This offict mil comspond with anty one designer) <br />Signature of Owner Signature of rr <br />Cont�J �-17 <br />P/� <br />APPLICATION REQUIREMENTS ARE LISTED ON REVERSE SIDE. <br />