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. ,,,.,:. .. ,.,,.,. __ <br />=·· <br />HISTORIC PRESERVATION COMMISSION <br />OF SOUTH BEND AND ST. JOSEPH COUNTY County-City Building, South Bend, IN 46601 http://www.southbendin.gov/government/deparhnent/community-investment Phone: 574/235.9371 Fax: 574/235.9021 Email: hpcsbsjc@southbendin.gov <br />Michele Gelfinan, President A Ce1tified Locnl Govemrnent of the Nationul Park Se1vice Elicia Feasel, Historic Preservation <br />Administrator APPLICATION FOR A-CERTIFICATE OF APPROPRIATENESS <br />OFFICE USE ONLY>»>»DO NOT COMPLETE ANY ENTRIES CONTAINED IN THIS BOX«<«<OFFICE USE ONLY <br />Dnte Received: --------Application Number: <br />Past Reviews: □ YES □ NO <br />Staff Approval authorized by: _____________________ Title: _________ _ <br />Historic Preservation Commission Review Dntc: ----------------------------□ Local Landmn.-Jc D Local Historic District (Name) ______________ _D National Landmark D Nntional Register District (Name) _____________ _ <br />Certificnte Of Appl]l!.rlateness: LJ Denied □ Tabled D Sent To Committee D Approved and issued: _______ _ <br />Address of Property for proposed work: --��:2,_/�A_t>_�_LA�_N_I_D __ �_u_,_'"'_t)_t:_--<.J_0�1_-:C_A.J ___ Y_L,_l:,_I_�_ <br />Name of Property Owner(s): <br />(Street Numher-Street Name-City-Zip) <br />AL.f12..� Oo Q.4....uUL... Phone#: 57LJ-:J2 'i -25"So <br />Ad dress of Property owner(s): ___ 1_2_1_5_N_a_p_i_e_r_S_t_. S_o_u_th_B_e_n_d_, _IN_4_6_6_0_1 ___________ _ (Street Number-Street Name-City-Zip) <br />Name ofContractor(s): 1)4-v IO S,-• LlA--1 ;2.._ Phone#: _£?_4_-_6_52_('.)_-_5_Cf_(oL( <br />Contractor Company Name: �\--\_c __ 3_.,_, _L_L_C __ . ---------------------- <br />Address of Contractor Company: L\ 0 2_ LJ, UASe-t I Y<,::m AJ .Sxn-�-1 'BE:'.»l), :t:.AJ Y�LP O I(Street Number-Street Name-City-Zip) <br />Current Use of Building: �/Vt�_U_l:_�_l_�_A_M __ ( '---,�-----------------------­(Single Fa111ily-M11I i-Fa111ily-Co111111ercial-Govern111ent-l11d11strial-Vaca11t-etc.) <br />Type of Building Construction: __ LJ�_O_D_1>�-�---M�f..�----------------------­ <br />Proposed Work: (more them onebox may be checked) <br />(Wood Fra1117rick-Sto11e-Steel-Co11crete-Othe1) D Lnndscnpc 0 New D Replacement (,wt i11-ki11d) D Demolition <br />Dcscl"iptiou of Proposed T£e.( k. f'1:;u.({.. -i-1-tc.. -Ci°ac(. D4/VlA-erCD � W 1-r� ;Ve LJs (t I /4.J 6-l.t s <br />own" ,-m;,11 : alfredo _rangel_ 93@yahoo.com andlor con•·•�=� �C. lir devdo��� <br />X � 'J11"71J7fJ✓/ and/or X --=��{�--�--===-�-Signatm·� � Signature of Contractor <br />lly signing this opplicatiou I ngrcc lo nbide by nll locnl rcgulntions relnted to prQiecl nnd to obtoin o Build in� Department Pcm1it, ifnpplicnblc. <br />7/17/20 2020 0720 <br />Elicia Feasel H.P. Administrator <br />n/a <br />x <br />x <br />Chapin Park <br />Chapin Park <br />x 2020-0720