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• <br />0 <br />HISTORIC PRESERVATION COMMISSION <br />OF SOUTH BEND AND ST. JOSEPH COUNTY <br />County—City Building, South Bend, IN 46601 <br />littp:#Nvw%v.soutlibendi n.gov/government/department/comniunity-investment <br />Phone: 574/235.9371 Fax: 574/235.9021 <br />Email: hpcsbsjc@southbendin.gov <br />Timothy S. Klusuinski, President A Certified Local Government of the National ParkSemice Elicia Feasel, I Iistoric Preservation <br />Administrator <br />LOCAL HISTORIC LANDMARK — OWNER CONSENT <br />1, the undersigned property owner, grant the Historic Preservation Commission of South Bend and St. Joseph <br />County permission to have the property located at:_) 0 40 W, W..5911.44M21.4 ST <br />Declared a Local Historic Landmark under ordinance. <br />I do also approve of the classification of this building under Group B Standards for Local Historic Landmarks. <br />4muA <br />Signature of Owner: Date: <br />s. <br />