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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 />I:- Address: ­ f' I P -11A.- C_ Bend, AAAf)1 <br />1VLULU L U I Indiana <br />Phone: 574-235-9798 - Fax: 574-235-9578 - Email: SBSJCHPC@co,st-joseph.in.us <br />Website: http://www.sqosephcounVindiana.com/s chp/index.html <br />OFFICE USE ONLY >>>>>> DO NOT COMPLETE ANY ENTRIES CONTAINED IN THIS BOX >>>>>> OFFICE USE ONLY <br />Date Receivedt4005 Application Number o2 0 0 5 - 100A <br />If I <br />Past Reviews: M YES (Date of Last Review) t NO <br />Staff Approval authorized by: Title: <br />Historic Commission Review Date: 11 * -24 - aD05 <br />ZLocal Landmark F-1 Local Historic District (Name) <br />National Landmark 7 National Register District (Name) <br />Certificate of Appropriateness: <br />0 Denied [-1 Tabled E] Sent To Committee F-1 Approved and Issued 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): 259 Yorkland Rd., Toronto, Canada, M2J 5B2 <br />Contractor(s) Name: <br />Contract Company Name: <br />Contractor Address: <br />City: <br />Current Use of Building: vqrqnt <br />- <br />Phone: <br />(Single Family — Multi -Family — Commercial — Government — Industrial — Vacant — etc.) <br />Type of Building Construction: combination wood frame and stone <br />Wood Frame — Brick — Stone — Steel — Concrete — Other) <br />Proposed Work: F-1 In-kind E] Landscape [] New ❑ Replacement (not in-kind) R Demolition <br />(more that: one box may be checked) <br />Description of Proposed Work: Please see attached description. <br />Owner/Contractor: Fax, (q74) ?19-Q790 e-mail ppri mmPrQ)MaV1 nrh,-r - raw <br />(This office will correspotui with only one designee) <br />. M W&TRIM <br />— APPLICATION REQUIREMENTS ARE LISTED ON REVERSE SIDE — <br />