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Application <br />- FOR - <br />Certificate of Appropriateness <br />Historic Preservation Commission of South Bend S; St. Joseph County <br />225 S. Lafayette Blvd., South fiend, Indiana 46601 <br />Mailing Address: County-Ciiy Building, 5rn�th Bend, Indiana AAMI <br />Phone: 574-235-9798 • Fax: 574-235-9578 • Email: SBSJCHP(@co.st jMphin.us <br />Website: http://,A%vw,.sf osephcountytuharacorn/s chp/index.htn - <br />OFFICE USE ONLY >>>>>> DO NOT COMPLETE ANY ENTRIES COMAINED IN THIS BOX »»» OFFICE USE ONLY <br />Date Received d" Application Numberd <br />Past Reviews: R YES (mte aftnst z?eriew) t C;L o/ t7 NO <br />Staff Approval authorized by: Title: <br />Historic Commission Review Date: 16 <br />E] Local Landmark 0�rrocalistoric District (Name)— - <br />National I.,andmark [National Register District (Manse) <br />Certificate of Appropriateness: <br />rj Denied E] Tabled ❑ Sent To Committee E] Approved and Issued <br />DATE <br />Address of Property for proposed work: 603 <br />Street Nu;aher and Street Name <br />Name of Property Owner(s)- (Pleast Print) ACH 1& 4. T <br />Address of Property Owner(s): 751 LF.U-AX:l� AU IMAJ U 1,M.. <br />Contractor(s) Name:, E" . '�71' t+C att- �a�C�'1� I-r�*"'Q C� rw-T— <br />Contract <br />—Contract Company Name: 6ZA0 G is%. <br />Contractor Address: _M W1-A'0GqOM- ��rr <br />City: LAke. awle'k iu. Phonc: ?db�4$3? <br />Current Use of Building: r•.i ti <br />Singh Fanxiiy—h3niti-ramtty—Cara:::erciat—C;orer7rnunt—1nditsW21— Vacant —rte.) <br />Type of Building Construction: 4t -Moo A drat r. <br />(i1W' Frame — Brick — Stow — Steel — Cmrtrete — Other) <br />Proposed Work: ❑ In-kind FI Landscape J.New Replacement (not to -kind) [:] Demolition <br />(nme tium one bat nary be ciwJxd) <br />Description of Proposed Work:,_.%V" ?O"CA i-sA't i, t +►�" _, <br />r,., ♦`Mid'... 1...2 � a /��... <br />Owner/Contractor. Fax: 2`*r 17 e-mail +4h a `�' 01MALC — <br />(Th a OJT= 1011 corn. pond Uih tidy one am grate) <br />,and/or��..�� _ <br />— .A lai?LICA77ON REQUIREMENTS ARE LISTED ON REMRSE SWE — <br />