Laserfiche WebLink
Sarah Andrews, <br />President <br />JUL 2 z 2024 ma Rec Loz(pizc�, <br />CITY OF SOUTH BEND 139 <br />AND ST. JOSEPH COUNTY <br />HISTORIC PRESERVATION COMMISSION <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 />ry <br />5 7 <br />Street Number Street Name <br />City <br />Primary Property Owner(s) <br />Zip Code <br />Name <br /> <br /> <br />Address (if different than above) <br />Contractors to be used <br />Company <br />Name <br />Area of Work (ex: roof, windows, landscaping) <br />Phone # E-mail <br />Company <br />Area of Work (ex: roof, windows, landscaping) <br />Name <br />Phone # <br />E-mail <br />Company <br />Area of Work (ex: roof, windows, landscaping) <br />Nome <br />Phone # E-mail <br />Continued on back + <br />227 West Jefferson Blvd., Suite 1400S <br />Ph: 574-235-9371 1 Fx: 574-235-9021 I hpcsbsjc@southbendin.gov <br />