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lop <br />Application <br />FOR - <br />Certi+ er % <br />fiCate of Appropfiateness <br />Historic Preservation Commission of South Bend & St. Joseph County <br />125 S. Lafayette Blvd, South Bend, Indiana 46601 <br />Mailing RiiilA;n South Bend, TnA;­AQAl <br />I-Bone:574--Z5-9M * Fxc574-235-%-78 # F,mai].SMJCHIIC(CtCO.St-joscplLitl.uq <br />Wet -site- httfr//wwwsqosephcountyindiart&com/sjchp/indexlhi'd <br />OFITCE USE O1VLY­­­ DO NOT COMPLETE ANY ENTRIES CWMINM IN THIS BOX >>>>>> OIRCE USE ONLY <br />Date Received Owe Application Number <br />Past Reviews: AYES (mte of iiw izet*a) WR (4, ' x� oW /0 (I NO <br />Stats Approval authorized by- <br />Title - <br />Historic Commission Review Date: <br />Local Landmark ['Local Historic District (Pvamr) hltr-,44 AWt <br />National Landmark [] National Register District (Name) <br />Certificate of Appropriateness: <br />] Denied [] Tabled R Sent To Committee R Approved and Issued <br />RM -0 <br />Address of Property for proposed work: '7 33 E. � <br />Name of Property Owner(s): W=eiwiay. t)o-it'd A 14vkrc� ,, <br />Address of Property Owner(s): I r7 3 -? 6 !;-6- <br />Contractor(s) Name: tttl Lr"1%t^-bv ( 1&oxbl <br />Contract Company Name: F0 el L -tic qrt4 <br />59- Contractor Address: <br />City: 'SOV -K BC HA Phone: (57�) :27-7-9-i Z� <br />Current Use of Building. <br />(&gfe Fatuity - tut ti -ramify - Commwiaf - Garrumrut - InjustrW - VOoflnt -etc.) <br />Type of Building Construction: Wu') d F"e-."" ( <br />(wow Frame - 13rick - Slow -Sim - conmic- Other) <br />Proposed Work- In-kind � Landscape F1 New. F1 Replacement (not in-kind) ' F1 Demolition <br />(Ptimr thm one bitr rwy h- d.,xW) <br />Description of Proposed Work: .Sc c <br />Owner/Contractor Fax: - Veni-tN4 e-mail f A <br />(711x op -e will cormsrotid wiih ady ore d1. --w) i _F <br />and/or <br />— APPLICATION REQ ULREMDM ARE LISTED ON REVERSE SIDE — <br />