Laserfiche WebLink
Application <br />- FOR - <br />Certificate of Appropriateness <br />Historic Preservation Commission of South Bend & St. Joseph County <br />125 S. Lafayette Blvd., South Bend, Indiana 46601 <br />Mailing Address: County -City Building South Bend, Indiana 46601 <br />Phone: 574-235-9798 • Fax: 574-235-9578 • Email: SBSJCHPC@co.st-joseph.in.us <br />Website: http://www.sgosephcountyindiana.com/s chp/index.htn l <br />OFFICE USE ONLY »»» DO NOT COMPLETE ANY ENTRIES CONZSINED IN THIS BOX »»» OFFICE USE ONLY <br />Date Received/0 Application Number of 0 O S - 100A <br />Past Reviews: ❑ YES (nate of last Review) ANO <br />Staff Approval authorized by: Title: <br />Historic Commission Review Date: 11'"14'910015. <br />Local Landmark ❑ Local Historic District (Name) <br />National Landmark E] National Register District (Name) <br />Certificate of Appropriateness: <br />7 Denied [j Tabled F] Sent To Committee [-] Approved and Issued <br />DATE <br />Address of Property for proposed work: 2300 Portage Avenue. South Bend <br />Street Number and Street Name <br />Name of Property Owner(s): (Please print) Alderwoods Group, Inc. <br />Address of Property Owner(s): <br />Contractor(s) Name: <br />Contract Company Name: <br />Contractor Address: <br />City: <br />Current Use of Buildinp• varant- <br />Type of Building Construction: <br />259 Yorkland Rd., Toronto, Canada, M2J 5B2 <br />Phone: <br />(Single Family - Multi -Family - Commercial - Couernment - Industrial - Vacant - etc.) <br />combination wood frame and stone <br />( Wood Frame - Brick - Stone - Steel - Concrete - Other) <br />Proposed Work: ❑ In-kind F] Landscape F] New ❑ Replacement (not in-kind) ® Demolition <br />(more than one box may be checked) <br />Description of Proposed Work: Please see attached description. <br />Owner/Contractor: Fax:_(57G1 947-97RQ e-mail ppri mmor@majrl nrhur <br />(This office mill correspond eoith only one designee) <br />__mar, attarney—£^r In-- <br />- APPLICATION REQUIREMENTS ARE LISTED ON REVERSE SIDE — <br />