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HISTORIC PRESERVATION COMMISSION <br />OF SOUTH BEND AND ST. JOSEPH COUNTY <br />Staff Use Only <br />date f i I ed 4 / <br />rating S IZ- <br />style fjz�m cLkSSjc <br />APPLICATION FOR LANDMARK DESIGNATION <br />ADDRESS OF PROPERTY (p�� '�6� -r�(� <br />LEGAL DESCRIPTION 0-r 3 cvw3 I / Z YaG . ct G.4 w - k , 2 - 16,r 5U <br />KEY NUMBER I� 1 ` 010 <br />OWNER'S NAME T &B F06L - Rr got H KS <br />MAILING ADDRESS Cpoq -FO tp A <br />Soom Bom , j r\f -l (,G I c, <br />PHONE NUMBER (14 2BI cO I GG <br />M ME -E ADDRESS OF PERSON COMPLETING APPLICATION IF DIFFERENT FROM OWNER: <br />G/0 <br />Rm 1123 , C�v,.r C iii �.rr • ` �o v� r t I N <br />INFORMATION ON 140MI14ATTED PROPERTY: <br />YEAR BUILT IdJ ORIGINAL OW14ER <br />ORIGINAL USE 1 pp �E,5 I PtW ARCHITECT/BUILDER <br />WR_ITC A_RQ.I_Cr — LCTADV_AC—rUC -.unu I errn nnr..�n�.• —,. -_- <br />