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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 a -mall: snuonce..w.l�.rri.m <br />w. mu: enrvtw.. ..rMrr�wb�.dt.n.mmnknpn./.ratst <br />A Certified Local Government <br />Off — .. b..—D0 »OMC6 USE ONLY <br />Due Received O O q — 2005 Application Number. 2005- oaoy <br />Put Revlcws: YES (o.naurrunnn 01 °i j ❑ NO <br />Staff Approval authorized bv: �SLI'tVTT� G♦'p R.T A� Title: As ricTAWr <br />n i lls c•TOC. <br />Hblodc Camminlon Revlcn Due <br />r focal Landmark ❑ National landmark <br />��1--X////��1 National Register District p C Nr1 JT I IJ f ��` ar <br />Local Historic District ply.• 1 V E¢,c 1 tD F <br />Certificate or Appropriateness: <br />❑ Dented ❑ Tabled ❑ Sent To Committee <br />Approved and timed 2005 <br />re+ "t ap frorc f 8• W 7-065 <br />Address of Property for proposed work: l <br />City : SON 7_ /9 ,0 Owner's Phone No: ( <br />Name of Property Owner(s):RUwo 19 �I1 /Te n n� c, i (3 r � /r°.•r ,'� <br />Address of Property Owner : S4�IP p <br />Contractor(s) Name: /0r W S <br />Contract Company Name: 0/ -Z� <br />Contractor Address —,P eO_ 1,1iri'X City: <br />Contractor's Phone No: S ?4' 2,93 ©� ©� <br />Current Use of Building: 5 r f,Q M i <br />5..r r2 I G l.LUei.l- Vru. -� <br />Type of Building Construction: fA�.r7,e��n -S6 <br />w1 i- Awf- Cwo�. -OM�I <br />Proposed Work: Inkind ❑ Landscape New ❑ Replacementhr`.u.q <br />/a cr r lv aqM aMA.h �" <br />❑ Demolition <br />Description of Proposed Work: <br />ex4 <br />Add doc.v.ar h:lo�e fv nurYh (.cn. eIG K.}�ir., ✓�cbta..i <br />Owner/Contractor: Fax: e-mail: ezdIlljS �GD <br />