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Application <br />- FOR - <br />Certificate of AppropHateness <br />I listoric PfeservatlOn Commission of South Bend & St Joseph County <br />Ir5 S. Li-dayeve Blvd,, South Bcmd, Indim-ta 46h0l <br />Mn -b Address. County . <br />Wvuj1d=,_>outhbendf indianaqbwl <br />Phone: 571-235-9798 * Fax:.57,1_z35-9578 - Fmail:SB5jCH'I-'CCt)co.st-joskIpiLill.LIS <br />Website: http://wlvw.stjosephcotintyindiina.com/.jclili/index.litnil <br />OFFICE LISE ONLY >>>>>>Iii? NOT COMPLM ANY EMIES CONMINED IN THIS BOX -->OFFICE USE ONLY' <br />Date Received -W111 - 0 �vZ 7 Application Number eAe <br />Past Reviews: 441) n NO <br />Staff Approval authorized by: Title: <br />historic Commission Review Date: <br />Local Landmark BlAcal Historic District YA4j— <br />National Landmark 2-gational Register District orame) <br />Certificate of Appropriateness: <br />[j Denied (Tabled n Sent To Committee [B'Approved and Issued 417,4I&M 0t_)b,�T �.,' <br />Address of Property for proposed work.---- k" .W"8 Art fiWA btC,, <br />Street Number and Street Mime <br />Nance of Property Owner(s); (Wiese Print) Cornic-Tws E_oLdL� Cf, <br />NA; <br />Address of Property Owner(s): Pct. r V, A v t_ Ao-p, <br />Contractor(s) Name: Mt V-. Tro N r, JGLred RC PtO_ 5 <br />Contract Company Name: jkm(y-,-i� MasNr^, <br />Contractor Address: M_6a_5fTe6J_ <br />City: '24���_-2_J(J 61A 0 Phone: �05 <br />Current Use of Building: s} W, 11, " -ain,4 <br />(Sir Ie ranzl�v - Multi -ramify - Commercial - Government - Industrial - Varant - nO <br />Type of Building Construction: `6,_0L <br />(I,Vxd frame - Brifi- - Stene - Steel - conaefF - other) <br />Proposed Work:In-kind Landscape 0 New E] Replacement (net inQ-kind) Demolition <br />(7,;7e than one box fmyb.- sharked). <br />Description of Proposed Work- 'Revv\nvc, *)p 5i.4-r� '� <br />� <br />C <br />aL�c <br />_)Qicy_� 1i Aft Akso fbAWx_1_q10H im4-1c's <br />�K U�ns&&k\ �)ricycs WCL Al) V , �L <br />n5 t tin cl 4A. Liok�);Nj <br />Ilicy-ro--m- ri rAcA CaS <br />Oxvncr/Contracto. Fax: (<,--Iq <br />e-mail <br />(This offim will airropond with only rde designee) <br />4 <br />and/or <br />-- APPLICATION REQUIMIEWIS ARE LISIT-D ON REMRSE SIDE — <br />