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HISTORIC PRESERVATION COMMISSION
<br />OF SOUTH BEND AND ST JOSEPH COUNTY
<br />L\nmt ,--Cit, Huilding. S(,uth lknd. l N -l <,<,111
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<br />!'hone 574 /n5 917 I h1" 574/2~5 <JU2 I
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<br />Mid1elc (,c·lt'111un. l'residl'nl \ ( ·1•11ifil·<l Loc1l Cm l'mrnent of tlw \ational l'ad, Se1, in• Flicia Feasel . llist()J'i<: Pr.:scnati,,11
<br />J\dmi11i,1rator
<br />APPLICATION FOR A-CERTIFICATE OF APPROPRIATENESS
<br />OFFICE l',\T UH J'>>>>>>DO \IOI' ( 'O .\ IPl ,En: .\\'Y F .'\'fRIFS ( 'O'.\T.\li\ FD I'\ 11 IIS BOX<<<<<<OFFIC/:" l'S/:" O.\'U '
<br />Datl' Receh e<l :
<br />□
<br />Staff . \pprornl authorite<l h~·:
<br />l listoric Pr<'sen ation ( 'om mission R<',·i<'" Dal'<':
<br />D Local Landmark
<br />D ,'\ational Lan<lma1·k
<br />Cl•rtilirnte Of _\pp~·iak1wss:
<br />LJ D,·niNI
<br />Address of Proper~ for 11ro1rnscd \\Ork:
<br />,\pplkation \lurnlJl'r:
<br />D I ,<Kai I listorir Dist rid (.\'am e)
<br />D ,\ational Rl·g:ister District (.\'am e)
<br />□ \0
<br />Tittl-:
<br />□ S,·nl To Conuni11<'l' □ \pprnH•d and issued:
<br />50-+ l ia s l l.aSalk ;\n;nuc. South 11 end . IN 4/il,17
<br />f .\'tl'l'<'I Y11111her S treet ,·011H' ''111 · L ip 1
<br />Name of Pro pert~-0\\ ner(s): (ire ;ster I ,11 \\ell I loldings _LJL _______ _ Phone#: 57.i.532 5(,4(,
<br />Address of Propert~· 0\1 ner(s):
<br />Name of Contractor(s): J\l l ,u~k Phone#: 57-+.5>2 .1525
<br />Contractor Companv Na,m•: __ J)re rmerJ C nns trueti11nJ11c ~. _________ _
<br />Addn·ss ofContractorCompan~·: __ lll5 l •:nst .ldlers<ll1 lll\u. Suite 21 6. South !le nd . IN -+<=,c=·,(_l~I ______________ _
<br />/Stred .\'11111hcr S tred \'0111 e ' '1 11 · 7.ipl
<br />Curn·nt u~c of Building: _____ C,onuu..:.n;.ia.,__ ___________________________________ _
<br />rS i11 g leFu111 ilv .\/11l!i-Fm11ih· ('0111111aci11I :;01•e 1m 11c 111 !ncl11strial 1·ac1111/ ere.)
<br />T.' pc of Building Construction:
<br />Proposl·d \:Vork: r11wr e 1/,1111 0 11 e
<br />hm· 11,av he c h,•cked!
<br />Description of Proposed \:Vork:
<br />Brick bcanng ,,alls ,,ith mmnh s teel e,,lumns and 1,,1~_l_s_-_s_u_11_1c_·_,,_,_JL_lc_l __________ _
<br />t [l'ooJ F'r,1111e Hri ck S ton e S h ·el ( ·o ncre/e Other /
<br />D Landsca1le D Re11laccmcnt (n o / i11 -kinJ1 D Dl·molition
<br />Con s tru..:l a Ill'\\ c·~mup\ ruuf u, ..:r th e e ,isti ng \\ est_.._1_a_l_11_i _______________ _
<br />and/or Contractor e-mail:
<br />and/or X
<br />Signature of Contractor
<br />-APPLICATION REQUIREMENTS ARE LISTED ON REVERSE SIDE-
<br />April 13, 2021 MA
<br />Rec. No. 809611 $20.00
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