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_ •a <br />`4s <br />it r; �2J7 <br />IT <br />V- <br />''� •• -for- <br />. •norµ oKfRJ, . <br />�iy •OUT •`t' <br />rti1cate ofA &gpnaten&s <br />,a Histone re3ervatlonCommission ofSouth- <br />Bend•&St.Joseph County <br />teas 227 West Jefferson Blvd - RM 1123 South Bend IN 46601-1830 t <br />Phone: 219-235.9798 Fez: 219-235-9578' a-mail: historic@michiana crg <br />A Certified Local Government <br />ONFIts USS oMLO NOT coWLLrM ANY ENR IES CONTARM iN TMS 110''-<0FFICE USB ONLY <br />Date Reeeired O 20 12 • Appuesition Number. 2000- 401.2 — 0-7 015 <br />Past Review YES (n,WaLAvM7zvM NO <br />Zoning Type: Lot She t _ <br />Stift Approval authorized by- Title <br />�'. <br />Historic Commission Reriew Date: <br />❑ Lord Landmark National Landmark <br />❑ National Register District at, h <br />aLeeal Mstoric District PA-4: <br />Certificate of Appropriateness: <br />Sent To Committee <br />Denied El Tabled <br />1]3 Approved and in. nod <br />I I ' <br />Address ofPropertyfor proposed •work: <br />City: ss, ge�Z Township: <br />CIL, op SO-51 Sera `VCII Lc <br />Name of Property Owner(s):rrarr+n CI� ,.. �' :•.. . <br />Address ofProperty Owner: 331 C WA 1W 5 t .-... <br />Contractor(s) Name: OU &V bora► W ''pati <br />Contract Company Name: <br />Contractor Address: - City: <br />Contractor's Phone No: Owner's Phone No: i• <br />Current Use of Building: <br />A'�F�ir•-alrms'�-ceMa3vcto�-cors�or-lnawbW-voame-ue '� . <br />Type of Building Construction:' "• <br />(Wa�Fialr-8rke-Sfoae-StfN-Gfi fm.Ot6u1 t` •. <br />Proposed Work: Inkind Ddtandscape New F1 Replacement(a.iawwNp - <br />(nw3r dbm me tar amy b dr�r.+hrq . . <br />Fj Demolition (Comolettoa of5euerate Form AlsoReentred) ' <br />Description of Proposed Work: QtMWI o %rt' • tAk- <br />w��� �Ca4rsla Ash► qtr. Re. 4teounl drer_'� r.Il., <br />�1n m Se Sov1 iDl.Gyv :` <br />Owner/Contractor: Paz: e-mail: � 0 P � � `• . •.*. <br />Signstore of Owner Signature of Contractor <br />APPLICATION REQUIREMMM ARE LISTED ON RMWE SIDIL - <br />Any 'and aH business of tins office is handled via e-mdll and far, with least ptefenrnee 10 U.S Mail .' <br />■ <br />