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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.gov/government/department/community-investment <br />Phone: 574/235.9371 Fax: 574/235.9021 <br />Email: hpcsbsjc@southbendin.gov <br />Timothy S. Klusczinski, President A Certified Local Government of the National Parc Service Elicia Feasel, Historic Preservation <br />Administrator <br />APPLICATION FOR A - CERTIFICATE OF APPROPRIATENESS <br />OFFICE USE ONLYS»»>DO NOT COMPLETE ANY ENTRIES CONTAINED IN THIS BOX«««OFFICE USE ONLY <br />Date Received: Z % 5 o / ltd Application Number: 2c18 <br />Past Reviews: YES (Date of Last Review) ❑ NO <br />Staff Approval authorized by: <br />Historic Preservation Commission Review Date: <br />❑ Local Landmark <br />❑ National Landmark <br />Certificate Of App ro riateness: <br />Denied ❑ Tabled <br />Title: <br />❑ Local Historic District (Name) _ <br />❑ National Register District (Name) <br />❑ Sent To Committee ❑ Approved and issued: <br />Address of Property for proposed work: 908 Leland Ave. South Bend, IN 46616 <br />• (Street Number --Street Name—City—Zip) <br />Name of Property Owner(s): Joan Downs Phone #: <br />Address of PropertyOwner(s): 849 Forest Ave. South Bend, IN 466616 <br />(Street Number—Street Name—City--Zip) <br />Name of Contractor(s): Peacock and Company <br />Contractor Company Name: <br />Address of Contractor Company: <br />Phone #: <br />574-383-6346 <br />1147 Mishawaka Ave. South Bend, IN 46615 <br />(Street Number—Street Name—City—Zip) <br />Current Use of Building: Multi -Family to be converted to Single Family <br />(Single Family—Afulti-Family—Commercial—Government Industrial—Vacant—etc.) <br />Type of Building Construction: Wood Frame <br />(Wood Frame—Brick--Stone—Steel—Concrete—Other) <br />Proposed Work: ❑ In -Kind ❑ Landscape ❑ New ❑ Replacement (not in-kind) <br />(more than one box may be checked) <br />Description of Proposed Work: Please see attached document and plans. <br />• <br />❑ Demolition <br />Owner e-mail: jomdowns29@gmail.com and/or Contractor e-mail: nickolasgdonovan@gmail.com <br />X 1 � _ 9 and/or X <br />Sign ture of Owner 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 Pennit, if applicable. <br />—APPLICATION REQUIREMENTS ARE LISTED ON REVERSE SIDE— <br />