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• <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/community-investment <br />Phone: 574/235.9371 Fax: 574/235.9021 <br />Email: hpcsbsjc@southbendin.gov <br />rnoq_r20►8 "120 <br />reC44 Ig2cl-7k <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 USE ONLY»»»DO NOT COMPLETE ANY ENTRIES CONTAINED IN THIS BOX«««OFFICE USE ONLY <br />Date Received: Ima(A )9 Application Number: (C)) 0 — Qb j D <br />Past Reviews: 2YES (Date of Last Review) qQAT!> "n'5 CJAr? tYIE, ❑ NO <br />Staff Approval authorized by: <br />Historic Preservation Commission Review Date: <br />❑ Local Landmark <br />❑ National Landmark <br />Certificate Of AppIlDenied <br />iateness: <br />❑ Tabled <br />. Address of Property for proposed work: <br />Name of Property Owner(s): <br />Title: <br />Local Historic District (Name) kiytr &.,rd <br />❑ National Register District (Name) <br />❑ Sent To Committee ❑ Approved and issued: <br />226 Hammond Place South Bend IN 46601 <br />(Street Number --Street Name—City—Zip) <br />Realmad Holdings & Investments, LLC <br />Address of Property Owner(s): <br />Name of Contractor(s): <br />Contractor Company Name: <br />Phone #: 5742503730 <br />13866 Vance Lane Manitowish Waters WI 54545 <br />Address of Contractor Company: <br />(Street Number --Street Name—City—Zip) <br />Phone #: <br />(Street Number—Street Name—City—Zip) <br />Current Use of Building: Single Family <br />(Single Family—Multi-Family—Commercial—Government—Industrial—Vacant—etc.) <br />Type of Building Construction: Wood Frame <br />(Wood Frame—Brick—Stone—Steel—Concrete—Other) <br />Proposed Work: (more than one ❑ Landscape ❑ New 0 Replacement (not in-kind) ❑ Demolition <br />box may be checked) <br />Description of Proposed Work: <br />Please see attached proposal <br />• Owner e-mail- kevinbierly7@gmail.com and/or Contractor e-mail: <br />x ( �� <br />Signatur f bUer <br />and/or X <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 />