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APR 0 9 2018 <br />Re�.i g <br />HISTORIC PRESERVATION COMMISSION <br />OF SOUTH BEND AND ST. JOSEPFI COUNTY , <br />County—City Building, South Bend, IN 46601 <br />http://www.southbendi n.gov/government/depailment/commLinity-investment <br />Phone: 574/235.9371 Fax: 574/235.9021 <br />Email: hpcsbsjc@southbenclin.gov <br />Timothy S. Musminski, President A Certified Local Government of the National Pa?jcService Elicia Feasel, Historic Preservation <br />Administrator <br />APPLICATION FOR A — CERTIFICATE OF APPROPRIATENESS <br />OFFICE USE ONLY>>DO NOT COMPLETE ANY ENTRIES CONTAINED IN THIS BOX«««OFFICE USE ONLY <br />{r <br />Date Received: j• 1l a Applications Number: [..'Q B -0402. <br />Past Reviews: I rl YES (Date of Last Review) enLU 1 (� �,� ❑ NO <br />Staff Approval authorized by: <br />Historic Preservation Commission Review Date: <br />Local Landmark <br />❑ National Landmark <br />Certificate Of Appropriateness: <br />El Denied ❑ Tabled <br />Title: <br />&Local Historic District (Name) 06^6n Petr K <br />National Register District (Name) I <br />❑ Sent To Committee ❑ Approved and issued: <br />Address of Property for proposed work: 701 Portage; South E <br />(Street Nin?iber- <br />Name of Property Owner(s): Seven Entropy Design Studio <br />Address of Property Owner(s): <br />Name of Contractor(s): <br />IN 46616 <br />—Zip) <br />858-717-3157 <br />Phone #: <br />3623 Eastham Drive; Los Angeles, CA 90232 <br />(Street Number—,Street Name—City—Zip) <br />Norrie Emmons Phone #: 574-232-9600 <br />Contractor company Name: H.G. Christman Construction <br />Address of Contractor Company: 23186 Ireland Road; South Bend, IN 46614 <br />(Street Number-..-StreetName—City—Zip) <br />Current Use of Building: Vacant <br />(Single Family—itilztlti-Family--Coini)?ercial--Government--Industrial—vacant—etc.) <br />Type of Building Construction: Wood frame with steel and masonry structural members <br />(I -Good Frame—Brick--Stone--Steel—Concrete--Othet) <br />Proposed Work: ❑ In -Kind ❑ Landscape ❑ New ❑ Replacement (not in-kind) ❑ <br />Demolition <br />(?pore than one box may be checked) <br />Description of Proposed Work: See 'attached narrative. <br />Owner e-mail: <br />X <br />Signature of Owner <br />and/or Contractor e- ail; norrie@hgehristmanconstruction.com <br />c <br />and/or jZ:�rX <br />Signature of Contractor <br />By signing this application I agree to abide by all local regulations related to project and to obtain a Building Department permit, if applicable. <br />—APPLICATION REQUIREMENTS ARE LISTED ON REVERSE SIDE— <br />• <br />