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06/03/2008 <br />10:36 5742359578 <br />HPC SOUTH BEND <br />Application <br />- FOR - <br />Certificate of A.p"priateness <br />f3istade Prower, vation Commission of South Benet do St. Joseph County <br />125 S. I-Skefte Bk&, South Bend, Indj=a 46601 <br />Mailing Addx+ess: Oa .. City a3uQduag, South Bend, Indiana 466M <br />Phone: $74.235.9798 • F=574-2&5-9578 a Broad: SMCWC@mst-josepkin.us <br />st-joseph.in.us <br />Webeite: http-!/www.djosephaauntyntdmna *DmtMchp/ <br />PAGE 02 <br />A C.ertiBed Local +;.. F, „,„,i <br />UFl10E U$E ONLY 00 NOT COME= ANY EMM 00TWALMD M TlMM "—;,, UF; CE USE ONLY <br />Date Received G 5i-� 'Zoo8 Application Number <br />Past Review . © YES (vw gfLow P,.K„) ONO <br />Staff Approval authodred by: 31de: <br />Historic C m mimion Review ]Date: .2/ <br />❑ Local T.amdnwk 0 Lost Historic Disttict tivame) <br />M National Landmaxk ❑ National, Register District None) <br />Certificate of Appropriateness: <br />Denied El 'fabled El Sent To Committee C] Approved and Issued <br />Address of property for proposed worla tv�) L%nCokn (xA%.A E;>r" <br />Stmt Nl.R , cod Shut Mame <br />Name of ftperiy Owoer(s): (plmw print) Avrk c,;V%Pe"[ <br />Address of Propertyownerw: L_,*55 UY POWN 1A -Y -NU 9 -A -z,4 <br />Contracts 0s) Name: <br />Contract Company Name: <br />Contractor Address: <br />City: <br />Phone: <br />DATE <br />Cun "t Use of Build%V M'[nP.,rc' ,A\ <br />(Slagle Family - Mu16-JR01 ly - Commrmal - Gwxrrmmt - Industrial, - vacM - enc.) <br />Type of Building Constrmetion: i penr ,fes <br />(yWsod Frame -Back -:+MRe -Star -Concre6! - t]titt� <br />Proposed Work: [j Itt-hind M Landscape E]New o Replacement (Rot .-ktnd) ©Demolition <br />(mo►r tl�n orre bos may beelrakca) e� <br />De�Ption of Proposed Work:-UlSk�k1 IL 1rerXP 4 o -C prq <br />' � �ti1c l S� 249 -Ar tt <br />- and/or sisutum of Contractor <br />�i)� �1��XSAR£LTSONRfiV,�S,ESJb�E — <br />