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• <br />Michele Gelfinan, President <br />SEP 2 8 2018 <br />7(,1 7-5 <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/govemment/department/community-investment <br />Phone: 574/235.9371 Fax: 574/235.9021 <br />Email: hpcsbsjc@southbendin.gov <br />A Certified Local Government of the National Pads 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 />G7 <br />Date Received: t ze so ( b Application Number: 2 1 — ®a 2-9 tk <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 Appro riateness: <br />11 Denied ❑ Tabled <br />Title: <br />Local Historic District (Name) `l C-1 At -1 N V <br />❑ National Register District (Name) <br />❑ Sent To Committee ❑ Approved and issued: <br />Address of Property for proposed work: 301 S StINNYSI m /wrr. Sou-rN FNSPP IN Y6C i5 <br />• (Street Number—Street Name—City—Ztp) <br />Name of Property Owner(s): � ' d' K A K " ke1u ED Y Phone #: 571{" Z 3Y' 3/31{ tea. 7 <br />Address of PropertyOwner(s): 'Sol S St,NNY StDF I'V6 5ovr�( �EN17 (4V I I-5 <br />(Street Number—Street Name--City—Zip) <br />Name of Contractor(s): T a D% Phone #: <br />Contractor Company Name: T R D <br />Address of Contractor Company: <br />ly <br />(Street Number—Street Name—City—Zip) <br />Current Use of Building: DN GLE F Df'Y <br />(Single Famil),,—Multi-Family—Commercial—Government—Indalstrial—Vacant—etc.) <br />Type of Building Construction: 4) 0 0 D V V -"VM a- I Tort E_ I t� <br />(Wood Frame B ick—Stone—,S eel— <br />Proposed Work: (more than one ❑ Landscape LJ New ❑ Replacement (not in-kind) ❑ Demolition <br />box may be checked) <br />• Owner e-mail: 5IC6NHPd 5 W i CoMand/or Contractor e-mail: (SIA <br />X and/or X <br />Signature of ner 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 />