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HISTORIC PRESERVATION COMMISSION <br />OF SOUTH BEND. AND ST. JOSEPH COUNTY <br />County—City Building, South Bend, IN 46601 <br />http //,www.southbendin.god/`government/department/community-investment <br />Phone: 574/235.9371 Fa& =;574/235.9021 <br />Email: hpesbsjc@southbendin.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-APPROPRIATEINES <br />OFFICE USE O�N,LNS%»»DD N+ <br />Date Received; y j 1 y1,'� 1< <br />Application Number, <br />Past Reviews:` ❑ YES (Date of Last Review) <br />Staff Approval authorized by: <br />Historic Preservation Commission Review Date:.. 1 <br />13"Local Landmark ❑ <br />❑ National Landmark ❑ <br />❑ NO <br />Title: <br />Local Historic District (Nance) <br />USE ONLY <br />National Register District (Name) .. - -I =11-7 "1 <br />Certificate Of Appropriateness. <br />Denied ❑ Tabled ❑ Sent To Committee ❑ Approved and issued: <br />Address of Property for proposed work: 65014 US 931 Lakeville, IN 46536 (Pleasant View School) <br />(Street Nttnrbei- —eel Name—Ci1J <br />Name of Property Owner(s): American Electric Power; Indiana Michi"gan Power Phone #: 574-236-1646 <br />Address of Property Owner(s): <br />9 Lathrop Street, South Bend, IN 46628 <br />-- <br />Name of Contractor(s): tbd Phone #: <br />Contractor Company Name: . <br />Address of Contractor Company: <br />(Street iVwnbei• -Sleet Aldine -City --Zip <br />Current Use of Building Vacant <br />(SNk Fa)iitly=AItrlt!-Familj,--Conmzei•cial—Government= industrial—j*cant- etc.) <br />Type of Building Construction: Brick (schoolhouse); wood -frame (ancillary building) (Attachment 1) <br />(6food Fraine---Brick—Stone--Steel ::Concrete- othe)) <br />Proposed Work: ❑ In -Kind ❑ Landscape ❑ New ❑ Replacement (not In-kind) 0 Demolition <br />(more than one box)nay be checked) <br />of Proposed Work: 1. Demolition of non-contributing ancillary building (see Attachment 1), 2; Discussion of <br />Owner e-mail- mrbeggs@aep.com and/or Contractor e-mail:: <br />}( .' and/or X <br />Signature o owner - - SignatureofContractor <br />By,$lgmng tlu$ application I agree to abide by all local regulations related to project and to obtain a Building Department permit, irapplicable, <br />—APPLICATION REQUIREMENTS ARE LISTED ON REVERSE SIDE= <br />• <br />C <br />