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Application <br />- FOR - <br />Certificate of Appropriateness <br />Historic: Preservation Comnussion 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: 574-235-979£ • Fax: 574-235-9578 • Email: SBSJCHPC@co.st-joseph.in.us <br />Website: http://www.stjosephcountyindiana.com/sjchp/index.html <br />OFFICE USE ONLY—-- DO NOT COMPLETE ANY ENTRIES CONTAINED IN THIS BOX »»» OFFICE USE ONLY <br />Date Received'U1.2011 Application Number I l L 1- 6;'31 <br />Past Reviews: ❑ YES (DaleofLast Review) ❑ NO <br />Staff Approval authorized by: t.r_Py1111 Title: Atk?c6/ <br />Historic Commission Review Date: <br />Local Landmark ❑ Local Historic District (Name) <br />❑ National Landmark ❑ National Register District (Nance) <br />Certificate of Appropriateness: <br />❑ Denied ❑ Tabled ❑ Sent To Committee ❑ Approved and Issued <br />DATE <br />Address of Property for proposed work: 317 W. Washington <br />Street Number and Street Name <br />Name of Property Owner(s): (Please Print) Central high Associates LLC <br />Address of Property Owner(s): PO Box 560807, Dallas Texas, 75356 <br />Contractor(s) Name: Amereco Inc. & Accurate Construction <br />Contract Company Name: Amereco Inc. <br />Contractor Address: 204 F. Jefferson Street <br />City: va]oaraiso, Indiana Phone: 219.531.0531 <br />Current Use of Building: Multi. -Family housing <br />(Single Fancily - Multi -Family - Commercial - Government - Industrial - Vacant - etc.) <br />Type of Building Construction: Concrete, Brick <br />(Wood Frame - Brick - Stone - Steel - Concrete - Otiter) <br />Proposed Work: ❑x In-kind ❑ Landscape ❑ New ❑ Replacement (not in-kind) ❑ Demolition <br />(more Hum one btu nuty be check -al) <br />Description of Proposed Work: See Attached. <br />Owner/Contractor: Fax: 219.464.0464 e-mail zhei.ne@amerecoeng.com <br />(This office will conespotui with only one designee) <br />and/or - <br />— APPLICATION REQUIREMENTS ARE LISTED ON REVERSE SIDE — <br />