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• �5p TH <br />1865 - <br />• <br />APR 0 4 2018 MA <br />Ree.UV. IQ0,96I 'T,901 <br />HISTORIC PRESERVATION COMMISSION <br />OF SOUTH BEND AND ST. JOSEPH COUNTY <br />County --City Building, South Bend, IN 46601 <br />http://www.southbendin.gov/government/department/coin munity-investment <br />Phone: 574/235.9371 Fax: 574/235.9021 <br />Email: bpesbsjc@southbeadin.gov <br />Timothy S. Klusczinski, President A Certified Local Government of the National Park Service Elicia Feasel, historic Preservation <br />Administrator <br />APPLICATION FOR A — CERTIFICATE OF APPROPRIATENESS <br />OFFICE VSE ONLS BOX«««OFFICE USE ONLY <br />Date Received: y _1� _ Application Number: U�=_04.0 <br />Past Reviews: L:l YES (Date oJLast Revfew) W1� "� � T) ❑ NO <br />Staff Approval authorized by: <br />Title: <br />Historic Preservation Commission Review Date: <br />&Local Landmark ❑ Local Historic District (Name) <br />❑ National Landmark ❑ National Register District (Nance) <br />Certificate Of App <br />ro riateness: <br />Mi_..1 Denied ❑ fabled ❑ Sent To Committee ❑ Approved and issued: <br />Address of Property for proposed work: <br />504 East LaSalle Avenue, South Bend, IN 46617 <br />(Street Numbei—Street Name- 00 —Zip) <br />Name of Property Owner(s): Greater Lowell Holdings LLC Phone #: 574.532.5646 <br />Address of Property Owner(s): 3617 McKinley Avenue, South Bend, IN 46617 <br />(Sheet Number --Street Nante- -Cio —Zip) <br />Name of Contractor(s): <br />Al Lusk <br />Contractor Company Name: Premier 1 Construction <br />Address of Contractor Company: <br />Phone #: 574.532.1525 <br />105 West Jefferson Blvd, Suite 216, South Bend, IN 46601 <br />(Street Number Street Name---Clty—Zip) <br />Current Use of Building: Vacant Industrial <br />(Single Famil),,—Multi-Farm/y—Conunercial--Goverrrtnent—Industrial—Vacant—etc.) <br />Type of Building Construction: Masonry & steel with some wood on facade and roof <br />(Wood FrameBrick—,Stone—Steel--Concrete—Othet) <br />Proposed Work: ❑ In -Kind ❑ Landscape ❑ New ❑ Replacement (not in-kind) ❑ Demolition <br />(snore than one box may be checked) <br />Description of Proposed Work: See Attached plans by John Werntz dated 03-01-2018 <br />*.pejrrj@earW�signsred.com alusk@premier1constructioninc.com <br />Owner a -and/or Contractor a-mail:X . mar'."" and/or X LA3 Ar <br />—A _'M4 — <br />Signature of dwner Signature of C n or <br />By signing this application I agree to abide by all local rebndations related to project and to obtain a Building Department Pennit, if applicable. <br />APPLICATION REQUIREMENTS ARE LISTED ON REVERSE SIDE— <br />