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FEB 0 3 2020 <br />HISTORIC PRESERVATION COMMISSION RIC*&54457 <br />OF SOUTH BEND AND ST. JOSEPH COUNTY <br />County---City Building, South Bend, IN 46601 <br />http;//www.soWlibandin.gov/goveminenUdepartmetitteomtnunity-invesbnent <br />" a Phona:574/235.9371 Fax: 574/235,9021 <br />•W85 Email: hpcsbsjc@southbend[n.gov <br />A Certilled Local Covemmenl of the Naflonnl Pad<Servlce Elicis Fessel, Historic Preservation <br />Administrator <br />APPLICATION FOR A — CERTIFICATE OF APPROPRIATENESS <br />OFFICE USE ONLY»»»I)9 NOT COMPLETE ANY ENTRIES CONTAINED IN THIS BOX«««OFFICE USE ONLY <br />Date Received: <br />Application Number: <br />Past Reviews: ❑ YES (Date of Last Review) <br />Staff Approval authorized by: <br />Historic Preservation Commission Review Date: <br />❑ Local Landmark <br />❑ National Landmark <br />Certnicate Of Appro rlateness: <br />Denied ❑ Tabled <br />❑ Local Historic District (Nacre) _ <br />❑ National Register District (Name) <br />❑ No <br />Title: <br />❑ Sent To Committee D Approved and Issued: <br />Address of Property for proposed work: Pierre Navarre Cabin, Leeper Park, South Bend, IN 46601 <br />(Striae( Nwnber—Streef Nome—Cify—Zip) <br />Name of Property owner(s); Northern Indlana Hletorlcal Society dAo. The History Museum phoneM 574-235-9664 <br />Address of PropertyOwner(s): 808W <br />Street, South Bend, IN 46601 <br />Name ofContractor(a): Tim Lykowski _ Phone N: <br />Contractor Company Name: Lykowski Construction, Inc, <br />574-291-8858 <br />Address of contractor Company: 23158 West Ireland Road, South Bend, IN 46614 <br />(Str•eel N(mber- 81reet Nanie-01) -Zip) <br />Current Use of Building: Historic Interpretive site <br />(Single Famify—Mufti•Family—Conmrercla!—Government—(nAusuial—Vacant—etc.) <br />Type of Building Conelructlon: Single -pen log cabin <br />(Wood Frams—Errck--Sfaue-,Steel—Calcrate—Odrer J <br />Proposed Work: (more than one ❑ Landscape ❑ New ❑ Replacement (rot in-kind) ❑ Demolition <br />box may be checked) <br />Description of Proposed Work: Relocation to the museum's west campus, as port of larger Interpretive site. see attachment for details. <br />Ownere-malt: kericksonr@historymuseumsb.org timlykowski@aol.com <br />Y,-. Q _ and/or Contractor e-mail; <br />Sig slurs of Owner <br />and/or X <br />Signature of Contractor <br />ay sieniox this aPplw.li..1 ngrw m.bide bynll 10001 manlations Miami to p, ixi and to abtain a ntlading D"aino l Permit, iragdivublv.. <br />26 <br />