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' 5/29/2008) Wayne Doolittle 20080529134320948.pdf "" tl ._- ,. __ Page 2 <br />....... - -- -._._. r —' <br />Application <br />`013TH . for c yynaloeye <br />Certificate, of Appropriateness <br />Mstoric Preservation Commission Of South Bend & St. Joseph County <br />s6 227 West Jefferson Blvd - RM 1123 — South Bend IN 46601-1830 } <br />Pkoae 219-235-9799 Far 219-235-9578 a mail: historic®michimsorg 1 <br />A Certified Local Government <br />OF"CrUUSX OA%Yw- 00 NOT COa4IZU ANY al'rMM COrfMSM DI THE 110Z.< OF77Cff M901VLY <br />DNeRxeired CZ? 200 ApplkatteuNumbx: 20ce �29 <br />Past Rovlews: e�S (arserusrasranj S" Z Oe - Z OO B NO <br />ZoetnC T7Pm Lot SIM <br />r' <br />SIeRApprwaiaetherhedbys // p ]ills: <br />Historic Commkslos Review Dots: / (/ y // k%4 240 O <br />v <br />BS -I Landmark EINNlond Landmark _ <br />❑ NnaonN Regleter District d:.a <br />❑ local Hhtork Dtrtrktpa.y: . <br />Certificate of Appreprieundar. <br />[]'Deoled Tabled Saot To Commh'M <br />Approved and boned 20 ' <br />Address of Property for proposed work L cew Web4 <br />ifw:A,.r.wy.eery <br />City: Township: <br />Name of Property Owner(srlrmm 04 4 R" 4A <br />Address ofProperty Owner: Me�.eon R.ws <br />Contractor(s)Name: 164 S.o..it <br />Contract Company Name: <br />Contractor Address: <br />CRY- <br />Contractor's <br />ityContractor's Phone No: Owner's Phone No: <br />Current Use of Baildiny: <br />W'Wrf'm+b•incaam.re.cti....rW.a......�.rmsw.v r..as <br />Type o(Building Construction: <br />(Irwrrarw.att.a..r..or.c ,r,.ods .. <br />Proposed Work: Inkind Landscape New Replacementowa,mo <br />. few tl+npnrlstpNdrnb-0 - ' <br />❑ DemoBNon (C—Pledee of Seperah Ferm Abro Reaulrad) <br />DeseiiptlonofProposedWork: 'T4( 1.6..1, 69. leq.r carni 6rl.;e... R.rArb <br />Q.A r.eu ak ci m..t„„ SI <br />Owner/Contractor. Fa:: e-mail: <br />mw�OA��4ye.�,rs«.�.rs..b .rbar�y <br />S mNre dOwnw Slseemre of Contractor <br />APPLICATION REQUIREMENTS ARE LISTED ON REVERSE SIDE. <br />My and all business o.fthIs off7ce h hmedled We &MAU Mdjap with leastFWermce to M Mab <br />