|
Application
<br />FOR -
<br />Certijkate of 3ppropr1irl, teness
<br />111,51'OIZIC PRESERVATION CONn, USSION
<br />of SOUTH BEND & Si. JOSEPH COON
<br />125 S I at'—we 131-4 1r3CnA IM A -M
<br />littn,,i,A-'wiv-stiosLplicouiilyinctiatia.cor,ildepartnientsISJCIiPliiidex.htw,
<br />p:578 -235-97,9b f. 574-2,35-9578 C., SBSJCIIPC(4r,co.st-joscpi,�.Iii.us
<br />' '7*77 - .. , .- 1, 1 1 -, 1- 1 ... -,-
<br />OF'FIC,rl!.YrOz,V.Lr.,.,.,>>>DO,NO'rCONIPI,F,TV ANY FNTRIPSCOWAVO�;rl) UNTIPS B0X<<<-4<<0FFjCE ['SE O.
<br />Date Received- Application Number. 02-0/z — / z
<br />.. ....... .... . --.—
<br />Past Rt% iews.. Ll'�YFS (AVevf1,AttReiiew)
<br />StaffApproval authoriztd by:
<br />Historic Preservation Commission lZc,,icw Date:
<br />❑
<br />National Landmark
<br />Certificate ol'Appropriateness:
<br />❑ Denial Tabled
<br />7 Ani -e -
<br />M Local Hisioric District ova.e)
<br />❑ ationall4gister District IV,7me)
<br />17 I NO
<br />Title.
<br />F1Seat To Committee Approved and issued.
<br />(Pleave Pr;rl)
<br />Address of Property for proposcd ivorhi: -7 17 I—IaL
<br />COt4WAY, 645-r
<br />510.7, 1 JQ
<br />(StreaNumber--Sireet Atame--City—Zip Cw1j)
<br />Name of 1'roperty Owncr(s): L^ t i —pa, L l Picone #:
<br />Address of Property Owner(s):
<br />(S1rev1N'wrber-- Street .Fame ----0,--iii) Code)
<br />Name of Contractor(s):
<br />Contract Company Name:
<br />Addrcss of Contract Company:
<br />Current Use of Buildino:
<br />M
<br />(P f-fj
<br />4- Assoavz,,�,
<br />(,54teet SwnNr Street Aante— Ci.,)�Zip Cod,-)
<br />(Sh 1gle T'ami U hri- 1"'411 n ily- - Co m m erclal— Go vern ir, en I— Indus lri4il- - Vacua - - e tv.)
<br />Type of Building Construction; 1-5 r I Lt L<-
<br />(WoodFrame-Brick,
<br />Proposed Work: F� In -Bind R Landscape 2�Nclv❑ ❑Demolition
<br />(more rh:m One box 11MIJ. he ehech,�t)
<br />Description of Proposed Work: --L&Avt-4,
<br />oil. .. . .........
<br />0wncriContractorFx,.,-;: N/A C-111ail.
<br />f'Sial,will corre,%� d tvith i, I FrMY)
<br />14/A C,
<br />Si nat e of iter Signature of Contractor
<br />—APPLICATION REQUIREMENTS ARE LISTED ON REVERSE SIDI,-,—
<br />
|