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•08 -*02-1992 03:44AM FROM <br />Application <br />u - for - <br />°`4,,'t;i�i:,�f, a Certzcute of Appropriateness <br />Historic Preservation Commission of South Dend & St. Joseph County <br />65 227 West Jefferson Blvd - RM 1123 — South Bend IN 46681-1830 <br />Phone: 219-235-9798 Fax: 219 -235 -9578 a -mail: historicigmichiana,org <br />A Certified Local Government <br />Cn',PICe USG NOT COMPL6"'1Zr ANY ENTRIES CONrAtNZI) IN THIS B0X<ee•eee0Fr•10E USSONLX <br />ate iletiYed 20 Application Number: 2000- <br />ast Rcvlews: ❑ YES (n+rentusrns lkva ❑ NO <br />ning Typc: Lot Size <br />tiff Approval authorized by: Title: <br />'storie Commission A c0ow Date–,—. — -- --- — — – <br />C1Local Landmark ❑ National Landmark <br />L_3 National ltegistor District Ind ct: <br />© Local Historic District (Au j: <br />ertiGcate of Appropriateness: <br />© Denied ' ❑ Txbted ❑ Sent To Committee <br />❑ Approved and imed 20 <br />TO <br />a <br />Address of Property for proposed work: I F>1•P2 F. --=Jr VAVt1C= NoHk <br />• sweet M/MwISYSYI m --w <br />City: C7 ^4+V1 b end Township: 1 &T+--loc, <br />Name of Property Owner(s):rrxT1 m 4n d 51At 14ACIP>11 <br />—)A"ress of Property Owner : ��'Z ��''S' W yntf N ar-+n <br />Contractor(s) Name: / <br />Contract Company Name: <br />Contractor Address: City: <br />923595?8 P.02 <br />I � <br />II <br />r <br />_ Contractor's Phone No: i — Owner's Phone No: <br />Current Use of Building: C-i+IVI/4 1 el ��Vv l <br />^(anglef�tMjy-blrly-iirinlb-CenrnrrcW•Geerrnn��-l�rdnaoirtf-Varmu rte <br />'T'ype of Building Construction: <br />(Woad From*-,6rkx-bYanc-Wed. Cam em -014w) <br />Proposed Work; ❑ Inkind IQ Landscape � New ❑ l; 2eplalcement(nattn-and) <br />11.11m If—? mw bm OW be d*.A.9 <br />ElDemolition (Comolction ol'Senerate Form Also Required) 1 <br />Description of Proposed Work: 1 �1t1-i~ —�- QP�sw^ +t`f-,-S A+ eVt-1,) <br />Owner/Coati—actor; Fax; e-mail: <br />(77d.. ArRr ce nrgrnrt wa/% MNY an. Jue4P <br />-{tgnature or Owner Signature of Contrador <br />' APPLICATION REQUIREMEN'T'S ARE LISTED ON REVERSE SIDE. <br />411y and all t}usiness of rh& vjrlce if handled via a-ntnit and Jas, !whir least prefarence to U-5!. MRiI <br />4 ' <br />1• <br />I <br />I ' <br />i <br />_ Contractor's Phone No: i — Owner's Phone No: <br />Current Use of Building: C-i+IVI/4 1 el ��Vv l <br />^(anglef�tMjy-blrly-iirinlb-CenrnrrcW•Geerrnn��-l�rdnaoirtf-Varmu rte <br />'T'ype of Building Construction: <br />(Woad From*-,6rkx-bYanc-Wed. Cam em -014w) <br />Proposed Work; ❑ Inkind IQ Landscape � New ❑ l; 2eplalcement(nattn-and) <br />11.11m If—? mw bm OW be d*.A.9 <br />ElDemolition (Comolction ol'Senerate Form Also Required) 1 <br />Description of Proposed Work: 1 �1t1-i~ —�- QP�sw^ +t`f-,-S A+ eVt-1,) <br />Owner/Coati—actor; Fax; e-mail: <br />(77d.. ArRr ce nrgrnrt wa/% MNY an. Jue4P <br />-{tgnature or Owner Signature of Contrador <br />' APPLICATION REQUIREMEN'T'S ARE LISTED ON REVERSE SIDE. <br />411y and all t}usiness of rh& vjrlce if handled via a-ntnit and Jas, !whir least prefarence to U-5!. MRiI <br />