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SEP 0 2 2025 MA 3X- oe <br />Sarah Andrews, <br />President <br />CITY OF SOUTHBEND <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 />Certificate of Appropriateness Application <br />Property Address for Proposed Work <br />824 Forest Avenue <br />Street Number <br />South Bend, IN <br />city <br />Primary Property Owner(s) <br />Victoria Hyland <br />Name <br />Address (if different than above) <br />Contractors to be used <br />Michael Bourn <br />Company <br />Sole owner <br />Name <br />Company <br />Name <br />Company <br />Name <br />Street Name <br />46616 <br />Zip Code <br />Ross Van Overberghe <br />Historic Preservation <br />Administrator <br />Parcel ID (Office use only) <br />( <br />Phone # Primary E-mail <br />Deck on back of house <br />Area of Work (ex: roof, windows, landscaping) <br />(574) 214-4338 Unknown <br />Phone # E-mail <br />Area of Work (ex: roof, windows, landscaping) <br />Phone # E-mail <br />Area of Work (ex: roof, windows, landscaping) <br />Phone # E-mail <br />Continued on back —* <br />227 West Jefferson Blvd., Suite 1400S I Ph: 574-235-9371 I Fx: 574-235-9021 I hpcsbsjc@southbendin.gov <br />