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834 Forest Avenue_AA 2024-0510A
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834 Forest Avenue_AA 2024-0510A
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Last modified
5/13/2024 10:34:02 AM
Creation date
5/13/2024 10:33:32 AM
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South Bend HPC
HPC Street Address
834 Forest Avenue
HPC Document Type
Certification
HPC Local Historic District
ix. Chapin Park
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1
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Created:
5/13/2024 10:33 AM
Modified:
5/13/2024 10:33 AM
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ity of South Bend <br />and St. JoSeph County <br />HISTORIC PRESERVATION COMMISSION <br />Sarah Andrews, <br />President <br />A Certified Local Government of the National Park Service <br />www.southbendin.gov/hpc <br />227 West Jefferson Blvd., Suite 1400S | Ph: 574-235-9371 | Fx: 574-235-9021 | hpcsbsjc@southbendin.gov <br />Certificate of Appropriateness Application <br />Property Address for Proposed Work <br />Street Number Street Name <br />City Zip Code Parcel ID (Office use only) <br />Primary Property Owner(s) <br />Name <br />Address (if different than above) <br />Contractors to be used <br />Company Area of Work (ex: roof, windows, landscaping) <br />Name Phone # E-mail <br />Company Area of Work (ex: roof, windows, landscaping) <br />Name Phone # E-mail <br />Company Area of Work (ex: roof, windows, landscaping) <br />Name Phone # E-mail <br />Continued on back → <br />Ross Van Overberghe <br />Historic Preservation <br />Administrator <br />May 13, 2024 MA Rec. 261479 $20.00
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