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Application <br />�gqU 6 - for - y `ousslopeRi , <br />Certificate of Appropriateness <br />�o a <br />Historic Preservation Commission of South Bend di St. Joseph County <br />` 1865 a 227 West Jefferson Blvd -1ZNi 1123 South Bend IN 46601-1830 .'• <br />Phone: 219-235-9798 Fez: 219-2354578 e-mail: historic@michianmorg <br />A Certified Local Government <br />OFFICE USE 0MYj->ar»DO NOT COMMKM ANY ENTRIES CONTAM0IN THIS HOS«aaecOFFICff U. IW ONLr ` <br />Date Reeelved 2Q _ Application Number. 2000 - <br />rest Reviews: <br />000-PutRevieirs: ❑ YES' (olzsorusraessem ❑ NO a <br />Zoning Type: Lot Size <br />Staff Approval authorbmd by: Title: <br />c , <br />Hhtorle Commission Rbview Date: <br />❑ Local Landmark ❑ National Landmark <br />❑ National Register Districtpe.mh <br />❑ Local Mstorie District p+ o., - <br />' � • s? <br />Certirmte of Approprhteness: <br />❑ Denied ❑ Tabled ❑ Sent To Committee <br />A: <br />❑ Approved and Issued 20 .Y <br />Property for proposed -lit <br />Address of P P ro work:, •! <br />se.b+b.du.wssrtl .! •.�`' ...; .s:: <br />city: Sbal\ (3a.� Township: ti • .. s. , <br />Name afPropertyOwner(s):?aAYf)y�in 2 Istt'ZtnnK Ci1P�b n1M i. :+: fit;,;+: y LZ <br />Address ofProperty Owner: 11 zu W1..Lt t7ok r <br />Contractor(s)Name: Cell tri' SWUN ' &,A PCI.V% <br />Contract Company Name: <br />311 G 0414 tr SOv�M l�tn1 ~ " <br />Contractor Address: City: <br />Owner's Phone No: <br />S '1.199.4Z1kt. <br />Contractor's Phone No: � <br />Current Use of Building: - } <br />�MFmrdlp-Mwai•FLwtd-��+nelat.(kraiusM-l�drrmiu!-Yxmif-etG .• - <br />Type of Building Construction: <br />X. <br />Proposed Work: ❑ Inkind alAndscape ❑ New ❑ Replacementowna-k4- ' :f <br />M.redszemR6ozaaybodueke� - "` <br />❑ Demolition (Comoletlon of Seoerate Form Alan Required) <br />Description of Proposed Work: w•<< remoter% &11^% Ash Z�c< <br />boN lV c •koce, R.a W n QPM. y <br />Owner/Contractor: FW. e-mail: INW%O,!.a1P. �&A4`V �n.So" <br />' I <br />(M offim WX coff"Poid we MdY oned.spay - - <br />Signature of Owner 5tgnatare otCoatractor <br />APPLICATION REQUMMMM ARE LISTED ON REVERSE S1DE- . <br />Any and aU brrslness of this ofJlce Is handled via o-md11 and jam wllh IeOtprejereaca to M Mal! ; <br />"� .. <br />