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Application <br />— FOR — <br />Ceri'ificate of Appropriateness <br />,Historic Preservation Canuniasion of South Bend dr St Joseph Cow,ty <br />. • 115 & Lafayette Blvd., South Bmd, Wiann 46601 <br />IN mm"mr Addime Courctyy�ity Building, South Hexa, Indiana 46601 <br />-Phone; 574235 -?198 • Fstc 57423x9578 • sx d,co,et�oeephiaus. <br />Websites http://www,e j, :, . , mtyindiena oom/rJci�P/index.html <br />OFFICE USE ONLY»»1030 0 NOT COMPLM ANYENTRES CONRM IN TRIS BOX).303,3,1030 OFFICE USE ONLY <br />Date Received 6 '. .2Oo ? Application Numl ier.9 0-Y o fob <br />Past Reviews: ❑ US okr #/!AtRnim) ❑jNO <br />Staff Approval authorized by. <br />Historic Commission Review nate: <br />Local Landmacic ❑ Local Histmic District (Ntx 4 <br />❑ National Landmark ' ❑ National Register District Wvw 4 <br />Certl 6te of Appropriateness: <br />❑ Denied ❑ Ubled ❑ Sent Committee ❑ Approved and Inued. <br />• coos <br />Addmw of Property for proposed work: 194 q F c Y e s i- A v t . GG / �/ 41(o 41 <br />Erma Nw*ffmd sird Nwwra <br />Name ttf Property Ow=O): (Am Brawl) -S c Ct n M. l> n l- <br />Address of Pmpwty OWner(s): $4 d Fore t V A",P <br />Cotttractor(s) Names S e—r, 10 it r r be c,w - <br />Contncct Company Name: <br />Contractor Address: <br />Mr. Phone: 4- 9 Z7 -2 - <br />Current <br />2ZCurrent Use of Building: 5 ► e,' 1c To rY, i <br />(81IV, <br />Findly-Mwtri-Fwwdly-Cmw&I-Cmm. wt-lwdwahW-Wawt-eta <br />Type of Building Construction: t <br />(ma Fmwe - Brick - Slows - Sid - CMfde - Olha) <br />Proposed Wb& la -kind ❑ Laridscape ❑ New ® Replacement Gros (mond). ❑ Demolition <br />. Gna,rwwa�raaacwwy6ariiwd� <br />Description of Pi+oposed Work: t -r o a iv- cc- v l CI ca res o�- <br />I in <br />OwnedConbactor., Faxa-mail J o rr &26o m s p i u s 1�, . e ac <br />c <br />(11th o�taconwrmpmdoAd�owtyowe&IM) <br />i _ O►� -M I.00t"A b and/or <br />.nnrre+.V*nlkrnrrorMrlAnMP r AnnrrcrrnnTJVrWVCACFnT? _ <br />