Laserfiche WebLink
Application <br />- FOR - <br />Certificate of Appropriateness <br />Historic Preservation Commission of South Bend & SL 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: SBSjCI-IPC@co.st-joseph.in.us <br />Website: http://www.sgosephcountyindiana.com/s chp/mdex.hbul <br />OFFICE USE ONLY-- DO NOT COMPLETE ANY ENTRIES COAMUNED IN THIS BOX »»» OFFICE USE ONLY <br />Date Received /.�- apt -020 // Application Number o2 O / / _ e i// V <br />Past Reviews: 9 YES (Date of last Review) NO <br />Staff Approval authorized by: c�G Title: <br />Historic Commission Review Date: <br />E] Local Landmark Local Historic District (Name) <br />National Landmark National Register District (Name) <br />Certificate of Appropriateness: <br />Denied E] Tabled E] Sent To Committee [13'A"pproved and Issued / i�r•// <br />DATE <br />j <br />Address of Property for proposed work: R & (a G e 1 e. n d 4-1, 13 r 01,11. <br />Street Number and Street Name <br />Name of Property Owner(s): (Please Print) , oc n 'tz� owws a -,A lar i a % V -r -o s +e.r+ 1zo <br />Address of Property Owner(s): ___S%t Qt Ave. <br />Contractors) Name: bau i ,l Warne. <br />Contract Company Name: <br />Contractor Address: 2915 / 1-" le v Roa d <br />$oxA-v% 1AGnA i" 4 (o IL <br />Phone: 9--7 y— 3 07 99,83 - <br />Current <br />983 - <br />Current Use of Building: T 1 r. c3 LC .r a" 01 <br />(Single Family — Multi -Family — Commercial — Government — Industrial — Vacant - etc.) <br />Type of Building Construction: t o r% o d .f r o rr, e <br />( Wood Frame — Brick — Stone — Steel — Concrete — Other) <br />Proposed Work: 5 'In-kind Landscape F� New [] Replacement (not in-kind) 0 Demolition <br />(more than one box may be checked) <br />Description of Proposed Work: Q'eu�, <br />@ rr &06, JUg _c e.e k- g2k e 4j,,,,eSe 4Ar-.r - Atv� ash ron <br />nenv N--woV'k .Cor ..'f'"°rvov6k Qf 6,1L+ Gid �kr h tZew <br />wk'& et. 1%, SO WIAUe , <br />Owner/Contractor: ' Fax: - e-mail - <br />(This office will correspond with only one designee) J o r % d o L.ln f L- / Lt S 6 . Cd ti <br />--A i„_ <br />