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HISTORIC PRESERVATION COMMISSION <br />OF SOUTH BEND AND ST. JOSEPH COUNTY <br />County—City Building, South Bend, IN 46601 <br />http://www.VRXWKEHQGLQJRYJRYHUQPHQWGHSDUWPHQWFRPPXQLW\LQYHVWPHQW <br />Phone: 574/235. Fax: 574/235. <br />Email: KSFVEVMF#VRXWKEHQGLQJRY <br />0LFKHOH*HOIPDQ,3UHVLGHQW A Certified Local Government of the National Park Service $GDP7RHULQJ, +LVWRULF <br />3UHVHUYDWLRQ$GPLQLVWUDWRU <br />OFFICE USE ONLY>>>>>>DO NOT COMPLETE ANY ENTRIES CONTAINED IN THIS BOX<<<<<<OFFICE USE ONLY <br />Date Received: ____________________ Application Number: ____________—___________________________________ <br />Past Reviews: YES (Date of Last Review) _____________________________ NO <br />Staff Approval authorized by: _________________________________________________________ Title: __________________________ <br />Historic Preservation Commission Review Date: __________________________________________________________________________ <br />Local Landmark Local Historic District (Name) ________________________________________ <br /> National Landmark National Register District (Name) _____________________________________ <br />Certificate Of Appropriateness: <br />Denied Tabled Sent To Committee Approved and issued: _____________________ <br />Address of Property for proposed work: ________________________________________________________________________ <br /> (Street Number—Street Name—City—Zip) <br />Name of Property Owner(s): __________________________________________________ Phone #: ______________________ <br />Address of Property Owner(s): _______________________________________________________________________________ <br /> (Street Number—Street Name—City—Zip) <br />Name of Contractor(s): _______________________________________________________ Phone #: ______________________ <br />Contractor Company Name: __________________________________________________________________________________ <br />Address of Contractor Company: ______________________________________________________________________________ <br /> (Street Number—Street Name—City—Zip) <br />Current Use of Building: _____________________________________________________________________________________ <br />(Single Family—Multi-Family—Commercial—Government—Industrial—Vacant—etc.) <br />Type of Building Construction: ________________________________________________________________________________ <br />(Wood Frame—Brick—Stone—Steel—Concrete—Other) <br /> Landscape New Replacement (not in-kind) Demolition Proposed Work:(more than one <br />box may be checked) <br />Description of Proposed Work: _______________________________________________________________________________ <br />___________________________________________________________________________________________________________ <br />___________________________________________________________________________________________________________ <br />___________________________________________________________________________________________________________ <br />Owner e-mail: __________________________________ and/or Contractor e-mail: ___________________________________ <br />X _______________________________________________ and/or X _______________________________________________ <br />Signature of Owner 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 />APPLICATION FOR A — CERTIFICATE OF APPROPRIATENESS <br />__________________________________________________________ an <br />nature of Owner <br />By signing this application I agree to abide by all local regulations re <br />947 Riverside Dr <br />Kenneth M Bonacci Kerri S Gustafson 303-917-2215 <br />947 Riverside Dr <br />Custom & Moore Tree Experts 574-532-7643 <br />Single family home <br />Wood Frame <br />X <br />Dead tree between sidewalk and street on Riverside Dr. <br />Large branches of the dead tree broke in a recent storm and fell in Riverside and our yard, just missing our home. <br />We desperately need this tree removed before it falls on our home. The tree is dead and needs to be removed. <br />The City has already looked at the tree and the permit has been issued. Please, reply ASAP. <br />drkerri@comcast.net