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Application <br />-FOR- <br />Certificate ofAppropriateness <br />HISTORIC PRESERVATION COMMISSION <br />of SOUTH BEND & ST. JOSEPH COUNTY <br />125 S. Lafayette Blvd., South Bend, IN 46601 <br />http://www.stj osephcountyindiana.com/departments/SJCHP/index.htm <br />p: 574-235-9798 f: 574-235-9578 e: SBSJCETC@co.st-josephJn.us <br />OFFICE USE ONLY- ­>>D0 NOT COMPLETE ANY ENTRIES CONTAINED IN THIS BOX«««OFFICE USE ONLY <br />Date Received: 21 <br />13 13017 Application Number: 3017 _ oa iaA <br />Past Reviews: © YES (Date ofLaat Review) I a� I ao i ❑ NO <br />Staff Approval authorized by: <br />Historic Preservation Commission Review Date: <br />Title: <br />❑ Local Landmark Local Historic District (Name) E,��Ot111P, �7tt P.P7 <br />❑ National Landmark ❑ National Register District (Name) 1 <br />Certiricate of Appropriateness: <br />❑ Denied ❑ Tabled ❑ Sent To Committee ❑ Approved and issued: <br />(Please Print) 1328 E WAYNE STREET SOUTH BEND 46615 <br />Address of Property for proposed work: <br />(Street Number—Street Name—City—Zip Code) <br />Name of Property Owner(s): CAMILLERI STEPHEN HARVEY & ERIN KENNEDY phone #: 574-210-3479 <br />Address of Property Owner(s): 1328 E WAYNE STREET S OUTH BEND 46615 <br />(Street Number—Street Name—City—Zip Code) <br />Name of Contractor(s): Phone #: <br />Contractor Company Name: <br />Address of Contractor Company: <br />(Street Number— Street Name—City—Zip Code) <br />Current Use of Building: SINGLE FAMILY RESIDENTIAL <br />(Single Family—Multi-Family—Commercial—Government Indctstrial—Vacant—etc.) <br />Type of Building Construction: WOOD FRAME WITH PAINTED WOOD SHINGLE SIDING <br />(Wood Frame—Brick—Stone—Steel—Concrete—Other) <br />Proposed Work: ❑ In -Kind ❑ Landscape ❑R New ❑ Replacement (not in-kind) ❑ Demolition <br />(more than one box may be checked) <br />Description of Proposed Work: KITCHEN REMODEL AND SECOND FLOOR ADDITION ON THE REAR OF THE <br />-S RUCTURF. WITHIN THE FOOTPRTNT OFA REAR PORCH THAT WAS PREVIOUSLY ADDED_ THTS PORCH IS NOT ORIGINAL <br />TO THE HOUSE. THE ADDITION WILL INCLUDE A NEW MASTER BEDROOM AND BATH. ADDDITIONALLY, A NEW <br />BATH WILL BE BUILT IN THE BASEMENT. SEE ATACHED DOCUMENT FOR COMPLETE DESCRIPTION. <br />Owner/Contractor Fax M a -mail: <br />X and/or X <br />Signature of Owner Signature f ct <br />APPLICATION REQUIREMENTS ARE LISTED ON REVERSE SIDE— <br />