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foA MAY 0 8 2024 Rec . 9.(0147c' <br />f <br />CITY 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 />Ross Van Overberghe <br />Historic Preservation <br />Administrator <br />Certificate of Appropriateness Application <br />Property Address for Proposed Work <br />623 Park Ave. <br />Street Number Street Name <br />South Bend 46616 <br />City Zip Code Parcel ID (Office use only) <br />Primary Property Owner(s) <br />Samuel Rund <br /> <br /> <br />Address (if different than above) <br />Contractors to be used <br />ParkerHouse Remodeling <br />contactor <br />Company <br />David Parker <br />Area of Work (ex: roof, windows, landscaping) <br />574-274-5842 <br />parkerhouseremodeling@gmail.com <br />Name <br />Phone # E-mail <br />ABC Supply Co window purchase <br />Company Area of Work (ex: roof, windows, landscaping) <br />(574) 289-9888 <br />Name <br />Phone # E-mail <br />Company Area of Work (ex: roof, windows, landscaping) <br />Name <br />Phone # E-mail <br />Continued on back 4 <br />227 West Jefferson Blvd., Suite 14003 Ph: 574-235-9371 1 Fx: 574-235-9021 1 hpcsbsjc@southbendin.gov <br />