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Application <br />- FOR - <br />Certificate of Appropriateness <br />Historic Preservation Commission of South Bend & St. Joseph County <br />125 S. Lafayette Blvd., South Bend, Indiana 46601 <br />Mailing Address: County -City Building, South Bend, Indiana 46601 <br />Phone: 574-235-9798 • Fax: 574-235-9578 • Email: SBSJC-IPC@co.st-joseph.in.us <br />Website: http://www.sqosephcounqindiana.com/sjchp/index.html <br />OFFICE USE ONLY »»» DO NOT COMPLETE ANY ENTRIES CONTAINED IN THIS BOX »»» OFFICE USE ONLY <br />Date Received ao�AA OW/0 Application Number oto /q - 4o62 2 - <br />Past Reviews: ❑ YES (Date of Last Review) [�NO <br />Staff Approval authorized by: AV/ Title: AhZ&6L' <br />Historic Commission Review Date: <br />Local Landmark ❑ Local Historic District (Name) <br />National Landmark ❑ National Register District (Name) <br />Certificate of Appropriateness: <br />Denied ❑ Tabled [] Sent To Committee [j]Approved and Issued 073 <br />DATE <br />635 South Main <br />Address of Property for proposed work: <br />Street Number and Street Name <br />Name of Property Owner(s): (Please Print) Studebaker Center, LLC <br />Address of Property Owner(s): 22 F_ Jackson, PhoenixAZ 850.04 <br />Contractor(s) Name: By Owner <br />Contract Company Name: CFH Landscape <br />Contractor Address: 813 S. Michigan Street <br />South Bend, In 46601 <br />City: Phone: _ 574 282-87] 1 <br />Current Use of Building: Vacant - Commercial <br />(Single Family — Multi -Family — Commercial — Government — Industrial — Vacant — etc.) <br />Type of Building Construction:. Brick and Concrete <br />(Wood Frame — Brick — Stone — Steel — Concrete — Other) <br />Proposed Work: E] In-kind © Landscape [] New ❑ Replacement (not in-kind) ❑ Demolition <br />(more than one box may be checked) <br />Description of Proposed Work: Removal of dead trees on Main St. in front of the entrance. <br />Owner/Contractor: Fax: 602 759-5299 e-mail mathan@dudleyventures.com <br />(This office will correspond with only one designee) <br />Robert Nathan and/or <br />— APPLICATION REQUIREMENTS ARE LISTED ON REVERSE SIDE — <br />