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Application <br />asourx ee <br />'for - <br />Certificate <br />for - <br />Certificate of Appropriateness <br />r Historic Preservation Commission of South Bend & St. Joseph County <br />tans 227 West Jefferson Blvd- RM 1123 -South Bend IN 46601-1830 <br />Phone: 219-235.9798 Fax: 219-235-9578 a -mail: historic@michiana.org <br />A Certified Local Government <br />OFFICE USEONLY,..DO NOT COMPLEig ANY ENTRIES CONTAINED IN THIS BOC«««OFFICE USE ONLY <br />Dale Received We/01 20QT Application Number: 2866- 2ec,S--OII0I <br />Past Reviews: YES (oArso£Lorazrim NO <br />Zoning Type: Lot Sitt <br />SUIT Approval authorized by: Title: <br />Historic Commission Review Dale: <br />❑ Local Lan4mark National Landmark <br />ElNational Register District <br />. <br />4 Local Historic VE <br />Certificate of Approopriatencss: <br />' Denied Tabled Sent To Committee <br />❑ Approved and issued 20_ <br />1021 RIVERSIDE DRIVE <br />Address of Property for proposed work: <br />L,u Av.Yr NI,nIK�/ <br />City: SOUTH BEND Township: PORTAGE <br />Name of Property Owner(s):,Puvo JEAN 6 BRENDAN CRUMLISH <br />Address of Property Owner: 1021 RIVERSIDE DRIVE <br />l...., :n 1.) Cfa .. 1.. ;TSA'_..:.:.... <br />Contractors) Name: <br />Contract Company Name: TBA <br />Contractor Address: "TBA City: TBA <br />Contractor's Phone No: TBA Owner's Phone No: 574-232-3773 <br />- Jrly•233 • YSyO <br />Current Use ofBuilding- RESIDENCE <br />(Syk £awes/ •AM144frwJy-Cerrxrrciol- aswrnn.uu.IneemW-V¢am-nc <br />Type of Building Construction: WOOD FRAME <br />fW+ov fru./-elra-Sur-s4rl • Gnrrra- ou.rl <br />1. <br />Proposed Work: Qx Inkind Landscape X] New © Replacem.seau.,o <br />Proposed <br />tm wog MrMc4ip <br />Demolition (Coawktion orSener.te Form Also Renuired) <br />. Description of Proposed Work: EXTERIOR RENOVATION OF REAR 1960's ERA <br />BACK PORCH W/ IN-KIND 6 NEW MATERIALS SIMILAR TO EXISTING MAIN <br />HOUSE. SEE DRAWINGS 1, 2, 6 3 DATED 6/3/2005 INCLUDED WITH THIS <br />,APPLICATION. <br />ARCHY'!'E.Gi1' 574-282-2994 crumlishb@aol.com <br />�JGtd�'Fp401IAxXOUR' Faz: a -mail: <br />•(IAuo uee,,..Pwr vwa l'ar �m•t <br />Signa ore ofOwoer / Signature of Contractor <br />APPLICATION REQUIREMENTS ARE LISTED ON REVERSE SIDE. <br />Any and all business ofthir office is handled via a -mail and far, with leas! pfeference to U.& Afail <br />