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JUL-14-08 102:47 PM ULTRATECH 2192338895 <br />P.01 <br />Application <br />- <br />FOR <br />- <br />Ferifieate of Apprvpriatmess <br />Historic Preservation Commission of Saudi Bend & St, Joseph County <br />125 S. Lafayette Blvd., Saudi Semi, Indtina 46601 <br />Matiing Address: County City Budding, South Bend, Indiana 4bba1 <br />Phone: 574-235-9798 - Pax: 574-235-9578 + Em4- 5' BSJCHF'M0.st Joseph inus <br />Website:http://www,sowph=ntyindianiLconi/gchp/indexhtml <br />OFFICE USE ONLY s»}» AO NOT -COMPLETE -ANY ENTRIES CON?AMED W "HIS BOX x>y>s>�DITII CE USE ONLY <br />Date Receivedf�� o2Qd ,1"' Application NumberalJd� <br />Past Reviews. ❑'YES (oate of wt x olna) C -R-90 <br />t Staff Approval authorized by: Title: <br />Historic Commission Review Date: <br />Local Landmark Cgl�acal Historic District Name) <br />[] National Landmark ❑ National Register District (Nanc(!) <br />:. Certificate of Appropriateness: <br />0 Denied C] Thbled ❑ Sent To Committee (l Approved and issued <br />DATE <br />;Address of Property for proposed work: J4,1 1!dr��% <br />Sire Nu er and Surd Mme <br />`Name of Property Owner(s): (Flom Print) <br />:Address of Property Owners): <br />Contractor(s) Name: Aa Z.. <br />Contract Company Name: Cf &ez t3' l5 cl, 0"V/ ;Poo <br />Contract Address: /,0,1P1/%�/J <br />X0 —2 x A e/410/-3 Phone: <br />Current Use ofBuild ing:-QZ/ 12.0LE�,?�! <br />{g{ ie Farnrtg�--/Mi11,h.�Fa114llq- Com�rurrirst - Ganerlurrent - Ituiustrinf-1'awr�t - efcJ <br />' Type of Building Constructiorv.-4 C Pep <br />(Woad Fmrnt- 8rk* -Stolle - Stud _ Collenfe -Other) <br />E Proposed Work: In-kind [] Landscape ❑ New 0 Replacement No in -unci) ❑ Demolition <br />(more than oro box way bt ctraiad) <br />Description of Proposed Work: <br />9// R38 &arts- 0 <br />Owner/Contractor: Fax: e-mail „ <br />(This o ft r svrtl earrrsfzmd with tmty ane &WSW) <br />and/or _.. _,. _ _ - .... ......_ <br />' - — Ap'pLICATIONREQUIRF WIM ARE LIS'M ONREVERSE SATE --- <br />