Laserfiche WebLink
Application <br />-for- <br />Certificate of Appropriateness <br />Historic Preservation Commission of South Bend & St. Joseph County <br />125 South Lafayette Boulevard <br />Mailing address: 227 West Jefferson Blvd - South Bend IN 46601-1830 <br />Phone: 219-235-9798 Fax: 219-235-9578 e-mail: historic@michiana.org <br />A Certified Local Government <br />OFF/CE USE ONLY»»»DO NOT COMPLETE ANY ENTRIES CONTAINED IN THIS BOX«««OFFICE USEONLY <br />Date Received 9 y b & 2002 Application Number. 2002 - <br />Past Reviews: YES (DATEOFLWAEVIEhtn n NO <br />Staff Approval authorized by: <br />Historic Commission Review Date: <br />❑ Local Landmark <br />❑ National Register District meq: <br />❑ Local Historic District (N ,): <br />Certificate of Appropriateness: <br />Denied <br />❑ Approved and issued <br />Title: <br />❑ National Landmark <br />❑ Tabled <br />2002 <br />❑ Sent To Committee <br />a <br />Address of Property for proposed work: 80S A rc H <br />Sara AS -b end Sven Nam•) <br />City:����.,etl1� Owner's Phone No: <br />Name of Property Owner(s):,PjuNo ZO f fl r� <br />Address of Property Owner: 'A OJ <br />Contractor(s) Name: 001") � <br />Contract Company Name: <br />Contractor Address: 044 city: 00 $�—✓1 <br />Contractor's Phone No: <br />Current Use of Building: Q>. -t 4.� :Lq <br />(Sinsle Fansffy-Multi-FamU onunndd-Govwr V -Industria! -Vacant eta <br />Type of Building Construction: (,� f��Ov��l As �� oc •�1� <br />— (w !:}ame-13riaY-stoma-Stsd-Conuste-Ot%er) _ u � I <br />Proposed Work: ❑ Inkind ❑ Landscape ❑ New E� Replacement(natin-s;nd)A��. <br />(mora than m Ux inay be checked) a <br />Demolition <br />Description of Proposed Work: <br />v . <br />Owner/Contractor: Fax: e-mail: <br />(This offin mU correspond Mth only one designee) <br />.- -7 3,—,? &/or <br />Signature of Owner Q Signature of Contractor <br />APPLICATION REQUIREMENTS ARE LISTED ON REVERSE SIDE. <br />1'. <br />