Laserfiche WebLink
Application <br />- FOR - <br />Certificate of Appropriateness <br />Historic Preservation Commission of South Bend & SL Joseph County <br />125 S. I-afayette Blvd., South Band, Indiana 46601 <br />Mailing Address: rA"rkhf_ritxRuiIdin South I3etirl, Indiana 46(01 <br />Phone- 574-235-9-798 * Fax: 574-235-95-78 # Frnail:Sl1qCHPCVkqSt-J0s4_- . ph.in.us <br />w0y,ite: iitq)://wwwstioselihcoutit},ilidiana.com/s chp/index.hiiiii <br />OFFICT USE ONLY >>»>> DO NOT COMPLETEANYENTRIV; COMMINED INT MIS BOX >>>>>>OFFICE USE ONLY <br />Date Received Application Number 4011-- 015,602-Iq <br />Past Reviews: Q YES (Daieq1,:stFevk-w) .. . . . ...... . . . . ..... D<O <br />Staff Approval authorized by: Title: <br />Historic Commission Review Date: A011 7X01y .16 f <br />Local Landmark rViefocal Historic District (Name) ....................... e_ 011- <br />n- National Landmark [] National Register District (:tiame) <br />Certificate of Appropriateness: <br />F� Denied E] Tabled n Sent'llo Committee E] Approved and Issued <br />DAI' <br />Address of Property for proposed work: ci 114 idary-A Ne, <br />Street Numtvr and Street Name <br />Name of Property Owner(s): Unease Print) ..Jef1V..\4r' IVa r T >r) o 1i ue <br />Address of Property Owner(s): /-0 M 0, <br />Contractur(s) Name. fit <br />Contract Company Name: <br />Contractor Address: Q-V+q kdanrr, <br />City: '�Ikt 41 -, 1 0� d L1 U U 1r � Phone:�J544) aT; - q c� co <br />Current Use of Building: S I /\C)16 <br />(Single Fat.tlilq Alti-Family - Commercial - Goti <br />Type of Building Construction- pri-CA. 4- S-Jqkc(.a <br />(Wo" , I Frame - Vrick - Stone - Steal - Concrete -- Other) <br />Proposed Work: Lr&u� In-kind I Landscape [] New R Replacement (not in-kind) F-1 Demolition <br />(wore than vete bur ma1v tv ckyked) <br />Description of Proposed wor%: (6100'1'elxvnekn-tf&�(Yq MA p(Nelu ' i AU <br />Lf);4) 51vdao-lo* s le, `'iw_ 1114� will .&W61 rl�,04614- <br />Moir be, tn(n irtpllwm on I:: (I of v �we_ <br />r -r. t�' 11 119 C'r-e (ice. I N kiLed" Xult"T <br />ov,tte_ Ner 0 a I C� <br />Owner/Contractor.- Fax: 01W/ e-mail ria.-jmJkur�) t 1, C <br />(7 his LfflLe will cortrslKrW viillh only one tksii1111) <br />and/or <br />— A.11111-ICA772N REQUMEMENUS ARE LISTED ON REVERSE SIDE — <br />