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Sarah Andrews, <br />President <br />JUL 0 12024 MA Rec,. cpZcpi oL, 140.01' <br />CITY OF SOUTH BEND <br />AND ST. jOSEPI-I COUNTY <br />HISTORIC PRESERVATION COMMISSION <br />A Certified Local Government of the National Park Service <br />www.southbendin.gov/hpc <br />Certificate of Appropriateness Application <br />Property Address for Proposed Work <br />919 Riverside Drive <br />Ross Van Overberghe <br />Historic Preservation <br />Administrator <br />Street Number Street Name <br />South Bend 46616 <br />City Zip Code Parcel ID (Office use only) <br />Primary Property Owner(s) <br />Indiana Landmarks 574- <br /> <br /> Central Avenue, Indianapolis, Indiana 46202 <br />Address (if different than above) <br />Contractors to be used <br />Self installed <br />Company Area of Work (ex: roof, windows, landscaping) <br />Name <br />Phone # E-mail <br />Company Area of Work (ex: roof, windows, landscaping) <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 -+ <br />227 West Jefferson Blvd., Suite 1400S 1 Ph: 574-235-9371 <br />Fx: 574-235-9021 hpcsbsjc@southbendin.gov <br />