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OC <br />Sarah Andrews, <br />President <br />RECEIV a MAY 2 2 2024 <br />CITY OF SOUTH END <br />AND ST. JOSEPH COUNTY <br />HISTORIC PRESERVATION COvMISSION <br />A Certified Local Government of the National Park Service <br />\niwvwv.southbendin.gov/hpc <br />Ross Van Overberghe <br />Historic Preservation <br />Administrator <br />Certificate of Appropriateness Application <br />Property Address for Proposed Work <br />8 7( P k A \I e h vk -Rs <br />5c"Pt Number Street Nome <br />5O t (3evid 46 6[6 <br />ct <br />Primary Property Owner(s) <br />fc‘reh <br />Narnc <br />Z p Code Parcel IU i0r; ce .use o 1A') <br /> <br /> <br /> <br /> <br />Ac h,..'ss ;if d ffcrent than cbovcl <br />Contractors to be used <br />Schree(1 Fev <e <br />C n'pc A• cc c,` b'/or , (ex: r oaf. windo•4s, cncIsenp n5i <br />• Narrre <br />M 'Le5+Oi& 1"e v,Ce <br />Phone ti E-rnci <br />l: ompc <br />A co c[ Nor ;ice:root windo,a-c , ndseap n .; <br />Nnrnc <br />P'7onc 4' E -m i <br />Corr pc •',, <br />A 20 of 'Woe : 1C X: r oof. windo+n. s, cncJscnp n:y <br />Narnc <br />Phone E-rnci <br />Continued on back -4 <br />227 West Jefferson Blvd.. Suite 1GOOS <br />Ph: 574-235-9371 I Fx: 574-235-9021 I hpcsbsjc@southbendin.gov <br />