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HISTORIC PRESERVATION COMMISSION <br />' OF SOUTH BEND AND ST. JOSEPH COUNTY <br />ra et County -City Building, South Bend, IN 46601 <br />htlpJ/vn.sotnhbendin.govtgovemmenVdepertment/community-investment <br />�\ Phone: 574/235.9371 Fax: 574/235, 9021 <br />Email: hpcsbsjc@soutbbendin.gov <br />Michele Gellman, President A Cenified Laval Government of the National Park Sewite Elicia Teasel, Historic Prescrvation <br />APPLICATION FOR A-CCRTIFICATE OF APPROPRI! ATENESS <br />Administrator <br />OFFICE USE ONL }5»»>UO V O'1' C/181PLF.TF .\Y} F.YTRIFS ('OV'I' \IYFD 'T 118 ROX«<c«OFFICF. USE ONLY <br />Date Received: Application Number: <br />Past Reviews: ❑ YES (Date of Lart Review) <br />Staff Approval authorized hy: <br />Historic Preservation Commission Review Date: <br />❑ Local Landmark <br />❑ National Landmark <br />Certificate OfAppro .."gu ss: <br />Denied ❑ Tabled <br />❑ local Historic District (Name) - <br />❑ National Register District (Name) <br />❑ NO <br />l'ille: <br />❑ Sent To Committee ❑ Approved and issued: <br />Address of property for proposed work; Pierre Navarre Cabin, Leeper Park, South Bend, IN 46601 <br />(Sheet Number-,Sireel Name-City-Ztp) <br />Name or PropertyOwner(s): Venues Parks & Arts, City of South Bend phone#: 235-7645 <br />Address of Property Owner(s): 219 S. St. Louis BLVD, South Bend, Indiana 46614 <br />(Street Number -Street Name --City -Zip) <br />Name or L'ontractor(s): Tim Lykowski <br />Contractor Company Name: Lykowskl Construction, Inc. <br />Phone#: 574-291-8858 <br />Address of Contractor company: 3158 West Ireland Road, South Bend IN 46614 <br />(Sfreet Number .Street Name -Ciry--7.!p) <br />Current Use of Baiidtag: Historic Interpretive Site <br />(Single Famify-,Wrflf-Fdmify-Cummurciu!-Covernmem-fndnsfriaf-Yacun(- etc,) <br />l'ype of Building Construction: Vacant, Log Cabin <br />(;Vood Frarue-Brick-Sfwre-�Sfeef-Conerele-Other) <br />Proposed Work: (more than one e Landscapp ❑ <br />box may be checked) L1New ElRe Replacement ( oat in-kind) Demolition <br />Description of Proposed Work: Cabin to be relocated to the museum's west campus as part of a larger interpretive site. <br />sw rexsed pan kv dealt. --` — <br />-- <br />Ownere-maif: jmartine@southbendin.gov and/or Contractor e-mail: timlykowski@aol.com <br />X . and/or X _ <br />�gexturc of Owiir Signature aTContractor __ <br />ar.iphgd,s.pplivnicn I yVee..bide b llIwtln:puu..nI.W. po,ect Pndb Mlun r 11.0 lop D anent Poea,irlppli,ebk <br />-APPLICATION REQUIREMENTS ARE LISTED ON REVERSE SIDE - <br />14 <br />