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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 • Emjil: historic @ michiana.org <br />Website: http://communitymichiana.org/historic/ <br />A Certified Local Government <br />OFFICE USE ONLY »»» DO NOT COMPLETE ANY ENTRIES CONTAINED IN THIS BOX »»» OFFICE USE ONLY <br />Date Received fuo <br />/OP. .2"6 Application Number a 4 6' G - D //,? X /S <br />Past Reviews: F] YES (Dateef Last Review) M NO <br />Staff Approval authorized by: tai o1DD G -a 11'P'4 Title: A24et ,&,, <br />Historic Commission Review Date: a -d 7-a0o GZOOG, C/ ,a <br />E] Local Landmark �oeal Historic Distrie Maine) <br />National Landmark F� National Register District (Name) <br />Certificate of Appropriateness: <br />n Denied n Tabled E] Sent To Committee F] Approved and Issued <br />DATE <br />Address of Property for proposed work: 129 W. North Shore Drive <br />Street Number and Street Name <br />Name of Property Owner(s): (Please Print) _peter' Ballet 8P Mary_ lleIL.QS;onnell <br />Address of Property Owner(s): 129 W. North Shore Dr., South Bend IN 46617 <br />Contractor(s) Name: Mesaros Masonry, Foegley Landscaping, Schuell Fence <br />Contract Company Name: <br />Contractor Address: (See attachment #1 for contract addresses and telephone numbers.) <br />City: Phone: <br />Current Use of Building: <br />Single family home <br />(Sin Ie Fainit_y—Multi-Family—Commercial—Gamrmnent —Industrial— vacant —etc.) <br />Wood frame <br />Type of Building Construction: <br />(Wood Frame — Brick — Stone — Steel — Concrete — Other) <br />Proposed Work: F] In-kind Q Landscape ❑ New n Replacement (not in-kind) 0 Demolition <br />(more thmt one hvc nmy Ike checked) <br />Description of Proposed Work: Remove remains of crumbling brick wall (circa 1 76) on west and east sides of <br />backyard; rebuild damaged wall on north side of backyard; add topsoil and sod; install black aluminum flat -top <br />or spearpoint (whichever is deemed most appropriate) 72- fence along west side of backyard and to house, aAd <br />frem—n— te house en east side of baekyard. (See attaehment #2 fer phetes ef current WaR eendMeft-,fit­ <br />tachment #3 for fence samples. attachment #4 for site plan.) <br />Owner/Contractor. Fax: <br />(This office will corn-sIvid with only one di signee) <br />e-mail peterbauer@comeast.net <br />and/or . <br />Signature of Owner Signature of Contractor <br />— APPLICATION REQUIREMENTS ARE LISTED ON REVERSE SIDE — <br />