Laserfiche WebLink
A pca®n <br />- <br />FOR- <br />Certif <br />lCate of Appro riateness <br />HISTORIC PRESERVATION COMMISSION <br />of SOUTH BEND & ST. JOSEPH COUNTY <br />125 S. Lafayette Blvd., South Bend, IN 46601 <br />http://www.stjosephcountyindiana.con-ddepartments/SJCHP/mdex.htm <br />74=235-9798 f: 574-235-9578 e: SBSJCBPC@co.st-joseph.in.us <br />j OFFICE USE ONL ri»»>DO NOT COMPLETE ANY ENTRIES CONTAINED IN THIS BOX«««O CE USE ONLY <br />q 2 12,�i L -C 00 1 <br />Date Received: 1 t Application dumber; <br />Past RiY1mm, ❑ 1w ❑ NO <br />i <br />staff4prvvat $utltetind by; Ti€lEl <br />FIistgplg 1'resen'a€ten Cerstlltissi4a Revitw Pato; -- _-- <br />❑ Local Landmark �Locat Historic District (vmne) <br />❑ National Landmark ❑ National Register District(?4mne) 1 <br />i <br />Certificate of Appropriateness: <br />j 0 Denied ❑ Tabled ❑ Sent To Committee ❑ Approved and issued: <br />of Property for proposed worlu 1540 East ,,lame Atreet South <br />(Street Nanihol— StIvo Nalne==City' =Zip Cody) <br />Nam gf properly Owner(s): Laura Blair <br />Phunc#: 574-38 7-x:050 <br />Address of Property Owner(s): 1340 • East ;/a me Street South <br />($creel Number— St0 qme—City—gip Code) <br />South Bend, n.�+.1'Tla :L � <br />Name afContractor(* Ortiz construction Phone 0; 974,-7 '.6 60 17 <br />Contract Company Name: <br />Address of ContractCompany;525 imlaski Street South Bend. Indiana <br />- (Street Nirm6er— Street 1Vame-01j —ftp Co.do) <br />Current Vic of Building: _Sir rel A � ti r;„ QJ Nj !--- <br />( Ingle Famtly�—Alirlil-p'arrril ommercial—Government-lndtistrlal—vacant--etc.)— <br />Type of Building Construction-Bri a r_ <br />oVood Frame Brick—Stone Steel—Concrete—011ier) <br />Proposed Work; ❑ In -Kind 0 Landscape ❑ <br />New❑ Replacement (not in-kind) E]Demolition <br />(more than one. box may be checked) Install wood Ptivacy Fence <br />Description of Propased Work: Install wood 3riv acv fence <br />.... <br />o re3lace chain ln_'a-me location. o- Br�nPrt-r <br />_.' s.__.. _. <br />Owner/Contra for Fan #: e-mail: <br />(Staf f id11 corn pond with o a esignee) Miller De rm o t 9.1 e <br />t - ' `' ? Dei 'flo t <br />and/or <br />Sienst4rg p _ wpor Si ntn: _ n C'nntr:sAtnr <br />APPLICATION REQUIREMENTS ARE LISTED ON REVERSE SIDE— <br />