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L '> <br />V e� -� <br />A -I 6 <br />- jV <br />Application <br />- FOR - <br />Certificate of Appropriateness <br />Historic Pref:crvatlon Commission of South Bend F2 St, lo-seph County <br />I255 S. Lafayette Blvd•, South Bend, Indiana 466 <br />Mailki Address: County -City >3uiltli ( — , tf, n—A i n c '� A e. 1 <br />I <br />Phone. 574-235-9793 - Fix: 574-2M • Email: 5BSJCHK1ro.st-josephin.us <br />Website. http://i�, *k�,/index.him <br />Orr] CE t ISE ONLY > > > > > > D N 0 T C aVTP L ETE ANY ENMES CON - MINTED rN Tills B » »» OM Cr USE ONtLj( <br />Date Received ll . // <br />Application Nwriber. d I/ <br />fast Reviews: ffylls (oil t: Los! pi­iew) NO <br />Staff Approval authorized by: Title: <br />Historic Commission Review Date: <br />[Local Landmark .oral Historic District wa,%w <br />n National Landmark ry_j National Register District <br />Certificate of Appropriateness: <br />F] Denied [] Tabled n Sent To Committee R`Approved and Issued <br />f; <br />Address of Property for proposed work: T'S6 tj Y t C, 1 " <br />stred Mbg�r, <br />lwr 2 <br />Name of Property Owner(s): (Frew prijo) i-k e -.A d 0o `f` r r- <br />Address of Property Owner(s): 1p,10 ' IV r"t I c, k 13 41 <br />Cojitractor(s) Name:_ Sodi- t - - <br />- .— i -LL Ajz.+ t r <br />Contract Company Name: <br />Contractor Address: <br />City: Phone: <br />Current Use of Building: <br />ly <br />Type of Building Construction: <br />Proposed Work: kind E?'fandscape [2'�Tew ❑ Replacement Otot ❑ Demolition <br />t it <br />Description of Proposed kk I Unt-, t P 7 0 0 �Jf flc <br />f C tj P, j d1 S, C( C. e E—tj o <br />—�� ..��� ° � 'ail i��t 9 t'ctr ( e :_._��s3!e._.'��*�n �,tonc (�����_�'d <br />4 C fr J Se l 0 d f e?_Cj 7-A <br />Owner/Contractor: Fax: )IS e - mail tj I Art'.1 R) 5 0 j e td ) A C V <br />(rk-- Cffi romspomildth 01; by ene ---) <br />and/or <br />APPLICATTON ARE LISTED ON AMRSF SIDE -- <br />