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04/16/2004 13:51 219 - 2456706 ST JOSEPH CO MAINT PAGE 02 <br />tQooi <br />U4/13/zuu3 rnu lb:jy PAX <br />Application <br />-roxt- <br />Certificate of Ap propri ateness <br />Histoxc FmPrvation Commission of South Bend & St: Joseph County <br />125 S. Lafayette Blvd„ South Beni, Indiana 46601 <br />MaLurrst Addrzss: County ity Building, South Bend, Indiana 46601 <br />Phone: 574235 -97'98 - F= 574-235-9578 - Email: historicff)miclvana.org <br />website:ltttp: / / eou lmunitymIchLznarorg/histoaie/ <br />A Cetti5ed Local Government <br />OFFICE USE ONLY> >a» r'OXfPLFfF A hh� ES [O dTt�TLjZLTf�S BOX »» » OFERM USE ONLY <br />Date Received ApplicationN'umber? �' - t <br />Past Reviews: F1 YES (take. ofenu en trw) NO <br />Staff Approval authorized by-. <br />Title: <br />HiStO36C Commission Review Date: <br />Local Landmark f7 Local Historic District [Name) <br />National LandmarkNatiottal Register District (Next[ ►r{ V t,Tt p LE RO V RGE f <br />Wt;sTw�ISt}trY�aToN <br />Certificate of Appropriateness: <br />�] Denied E] Tabled ❑ Sextt To Committee F1 Approved and Issued <br />tanrB <br />Address of Property for proposed work: 101 SOUTH MAIN STREET C� Ds S M qIN ST2.E.E.T� <br />Streit Number and Stmt Name <br />IVamc of property Ownerls): (.=trace nrrit) SAINT JOSEPH COUNTY BOARD �OF COMMISSIONERS <br />Address of property Owner(s): 27 WEST JEFFERSON <br />Contractors) Name: <br />Contract Company Nacre: <br />Contractor Address: <br />City: - Phone: <br />Current Use of Building: COUNTY GOVERNMENT COURTHOUSE <br />(5trgle Famf(y - Mutrr.Fa.r ity- Cvmmerete!- Goarrnmrnt - iKdvatriat - 1/aearst -etc,) <br />Type of Building Construction: SANDSTONE _- <br />(Woad PYaMe - Brick- Stare - Sterl - Corsartr - Othcr) <br />Proposed 'Work: In -kind C] Landscape [-] New teplacrment (r at in -kind) 0 Demolition <br />(mom Marl oelr bax May be dircW) <br />Description of Proposed IVork: <br />WTND REPLACEMENT PER SPEC IFICATIONS <br />PROVIDED BY MR JOHN WERNTZ, ARCHITECT. <br />OwnerltrYir Paz 574- 235 -7549 a -mail <br />(Thu o/lncc cur , ngonQ with only one tsI <br />— c <br />/ ,' Signature of Uwrter ) /% GGC , Signature of Contractor <br />(/ — APPLICA.TXO Q MRME� NTS ARE USMO ON REVERSE SIDE — <br />