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Application <br />- FOR - <br />Certificate of Appropriateness <br />Historic Preservation Commission of South Bend & St. Joseph County <br />125 S. Lafayette Blvd., South Bend, Indiana 46601 <br />Mailing Address: County -City Building, South Bend, Indiana 46601 <br />Phone: 574 -235 -9798 • Fax: 574 -235 -9578 • Email: SBSJCHPC@co.st-joseph.in.us <br />Website: http:// www. stjosephcountyindiana .com /sjchp /index.html <br />OFFICE USE ONLY » »» DO NOT COMPLETE ANY ENTRIES CONTAINED IN THIS BOX » »» OFFICE USE ONLY <br />Date Received�ZYA, ZOO I Application Number a�? _ Q <br />Past Reviews: F� YES (Date of Last Review) F] NO <br />Staff Approval authorized by: Title: <br />Historic Commission Review Date: 40 414k1e 0 9 <br />Rlocal Landmark ['Local Historic District (Name) I YLj <br />National Landmark Q National Register District (Name) <br />Certificate of Appropriateness: <br />E] Denied F] Tabled E] Sent To Committee F Approved and Issued <br />DATE <br />Address of Property for proposed work 723 PARK AVENUE, SOUTH BEND, IN 46616 <br />Street Number and Street Name <br />Name of Property Owner(s) (Please Print) JAMES "PATRICK" LYDEN <br />Address of Property Owner(s) PO BOX 1006, NOTRE DAME, IN 46556 <br />Contractor(s) Name: RUSS LUCHIE - SLATILE (MASONRY) , E.J. BARANY (GUTTERS) <br />Contract Company Name SLATILE, E.J. BARANY <br />Contractor Address: SEE ATTACHED <br />Ci VARIOUS Phone VARIOUS <br />Current Use of Building SINGLE FAMILY RESIDENCE <br />(Single Family - Multi - Family - Commercial - Government - Industrial - Vacant - etc.) <br />Type of Building Construction WOOD FRAME ON BRICK FOUNDATION <br />(Wood Frame - Brick - Stone - Steel - Concrete - Other) <br />Proposed Work: ❑ In -kind ❑ Landscape QX New Q Replacement (not in -kind) ❑ Demolition <br />(more than one box may be checked) <br />Description of Proposed Work SEE ATTACHED <br />Owner /Contractor: Fax: 574 - 631 -7939 <br />(This office will correspond with only one designee) <br />and /or <br />e -mail LYDEN .1@ND . EDU <br />— APPLICATION REQUIREMENTS ARE LISTED ON REVERSE SIDE — <br />