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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—MultiFamily—Commercial—Government—Industrial—Vacant—etc.) <br />Type of Building Construction: ________________________________________________________________________________ <br />(Wood Frame—Brick—Stone—Steel—Concrete—Other) <br /> Landscape New Replacement (not inkind) Demolition Proposed Work:(more than one <br />box may be checked) <br />Description of Proposed Work: _______________________________________________________________________________ <br />___________________________________________________________________________________________________________ <br />___________________________________________________________________________________________________________ <br />___________________________________________________________________________________________________________ <br />Owner email: __________________________________ and/or Contractor email: ___________________________________ <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 />808 Forest Ave, South Bend, 46616 <br />Arman Schwartz, Heather Wiebe 574-440-5707 <br />same as above <br />KC Tree (TBC)(574) 654-7710 <br />574 <br />8913 E US 20, New Carlisle, IN <br />single family <br />wood frame <br />x <br />removal of damaged maple tree in front of property. <br />Removal for safety reasons recommended by both Arborcare arborist and city forester Brent ThompsYou should also have received a message from Thompson) <br />hlj.wiebe@gmail.com <br />October 31, 2023 MA <br />Rec. 261433 $20.00