Laserfiche WebLink
J 41'' <br />Certificate ofApproprialetless <br />HISTORIC PRESERVATION COMNMIOX <br />of SOUTH BEND & ST. JOSEPH COUNTY <br />125 S. LAyeft Blvd., South Bond, IN 46601 <br />httpJAvww.stjosephoomtyiWiana.com/depxlmmts/SJCIIPruldex.htm <br />574-235-9798 f.574 235-9578 c: SBS1CHPC9P-sVj0scPh <br />OFRCE Ew an USE ONLY <br />1 Date Rtttivtd: <br />Post Revie".. YES 0*411491064 <br />StaffAppmM authorized by., <br />Histatic Pruervadon Commission Review Date; <br />Local Landmark <br />Nationg Landmark <br />94 <br />Application Number. " <br />NO <br />Title. <br />,W 43 <br />IAcd Historic District PV"4 <br />NatlovARegisterDletriete"4 <br />Ka -9 Tabled EyNtToCammitfte E]Appmyedsadissutd; <br />(Please PrInO <br />Address of Property for proposed worlu,, t 0 —CIO,-7Jp Code) <br />(Sonet Number --Street Nam <br />Name of Property Owntr(s): Phone u <br />c <br />Address of Property Ownero <br />pr—met NumbeSbwt jw—Cjty— Code) <br />Name of Contractor(s): <br />Contract Company Name: <br />Address of Contract Company; <br />- Current Use of Building., <br />Type of Building Construction: <br />Pbone 0: <br />{Street jVumber— Soeg I xoge—C4—op Code) <br />(Wood Frame —Brick--&00—&el—roncret"ther) <br />Proposed Work: ElIn-Kind ❑ Landscape New [9'Rc'Pl2=C4t (901 in-ki4 0 Demolition <br />(more than one box may be checked) <br />Description of Proposed Work; <br />A0, <br />7 <br />1-117 h <br />OwneriCon Me or Fax #; e-mai <br />(Staff will arr and with only one designee) <br />andlor X <br />Sign r -- r of Owner c.,ec-,ew1,JslP*tu <br />re ofCcatrador <br />—APPLICATION REQUIREMENTS ARE U9MD ON Rt+ SIDE— <br />