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Application <br />-FOR- <br />Certificate of Appropriateness <br />HISTORIC PRESERVATION COMMISSION <br />of SOUTH BEND & ST. JOSEPH COUNTY <br />125 S. Lafayette Blvd., South Bend, TM 46601 <br />hq://www.s4osepheountyindiana.com/departments/SiCHPrindex.htm <br />p: 574-235-9798 f: 574-235-9578 e: SBSJCHPC@co.st josej?h.in.us <br />OFFICE USE Oft NOT COMPLETE ANY ENTRIES CONTAINED IN THfS BOX«««OFFICE USE ONLY <br />Date Received: 7 flay Application Number. 05,0'7,D <br />Past Reviews: ❑--m (DahefladRevtew) ❑ NO <br />Staff Approval authorized by: Title: <br />Historic Preservation Commission Review Date: C <br />❑ Local Landmark Local Historic District (Name) G • W7"'r-4� <br />❑ National Landmark ❑ National Register District(Nmw) (/ <br />Certificate of Appro risteness: <br />U Denied ❑ Tabled ❑ Sent To Committee [aApproved and issued: O ?Ied/ LO/L <br />(Please Print) <br />Address of Property for proposed work.. 1 61 1 , E. Wayne St.. South Bend, IN 4 6 615 <br />(Street Number—Street Name—City—Zip Code) <br />Name of PropertyOwner(s): Jim Schmiedeler Phone#:574-274-3456 <br />Address of Property Owner(s): 1 61'1 E, Wayne St. South Bend, IN 46615 <br />(Street Number— Street Name—City—Zip Code) <br />NameofContractor(a): 'Slatile Roofing & Sheet Metal Inc. Phone#: 574-233-7485 <br />Contract Company Name: Slatile Roofing & Sheet Metal <br />Address of Contract Company: 1703 S: Ironwood South Bend, IN 46613 <br />(Street Number -Street Name—City—Zip Code) <br />Current Use of Building: Single Family <br />(Slagle Famil),--Multi-Family—Commercial—Government Industrial—Vacan"tc.) <br />Type of Building Construction: Brick <br />(Wood Frame—Brick—Stone--Steel-Concret"iher) <br />Proposed Work: X❑Tn-Kind ❑ Landscape ❑ New ❑ Replacement (not In-kind) ❑ Demolidon <br />(more than one box may be checked) <br />Description of Proposed Work: Replace cracked and missing roof tiles with like tile <br />fabricate and install new copper chimney cricket under roof tiles <br />minor maintenance to small flat roof on west side of house <br />Owner/Contractor Fa: #: 574-238.=7531 <br />(Staff will correspond with only one designee) <br />X <br />e-mail: kenh@slatileroofing.com - <br />and/or X <br />V <br />