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DEC/15/2009/TUE 08:10 AM <br />P. 002/002 <br />Applimflo �l <br />dtil t.! . FOR - <br />Ccm im* of Approptiatmcss <br />Hbtmk Preaemation Commission of. Soutf* Bond & St. Joselrh Googly <br />- . . 1Z� � Lafayatfe B,1vd.�SoutltP$e:u�indEatat!�66Q1 ,,} . <br />Mailing Ad&m Ccuntpat)' n& Souk r •46601. ' <br />'Phon�S?4,�35.97�96 • I�c674=�f�55'18 • Snteil;9>il?i�oo�it�fouephin•ue. • • . <br />OFFICE USE ONLY»»>y'UO XVbT COAiP=ANY i $ GONHMW !N ISI'B a0R ssrai> OFFICW MW ONLY^ <br />ate <br />DReceived' /�De•C. ZOO'• AppXtcatiun Numtiar 2Dv�;L. " '/2 <br />Put Reviews: L ] YBS (ibis eltatx lw) [Nth <br />Staff Appoval mthoftd by: <br />HfgWrk CummialonReviewD4tes 21 2>Ec ZOO ., <br />---- ---- .;. ..i•�y�,,�srYi�• `K!,",'; ;.� fir.•` �5 � �.;�;. � :. � _ '� � • <br />r fl id Taridmk � OV <br />'`f'1 1' �•. ��E`j �; �a��` to'� ih%. <br />NatiortFl Laiidm rk`l""'� Ns1io 'QIDLMaf <br />Ceetli to of Apprapriatoneaa: <br />Varied FZktvleii;s`j']Sent�aCo iitZee_;�fApproved'a!il;Iasiied.' , <br />t�+ra'�•'r . <br />Adbm of Propariy Bsr.pro <br />poseB:gran&::�^�'��.����,t:(,�)�!s'�R�•';�C/a.�t3,i•�P�>... <br />' 8tnsl.Nta�er•mi8lratlVeau �, ., ;.• :�s::,.x ' <br />Nam of_Piapeq Pmer(a: (i�ia�� iii ` � � ��'� vr.X .�.v��v� ye_-��nM�.9 yq <br />AddressA7L Pr� 4/�I�w►�a): •elf i i : -INN m_ pHa•S�r 2CA05Y y%'t :J Q Yii d� $i d+y <br />t^Qntractor(s) None; G! i .�I� t;.� ' �i.� oar l.c� '. �.�at�,,,. ��"� ` ; �•< .' 9.:" .._ ' . . <br />CantmocampmyName: Ws,vjltg.a> (A)rrlrl._...._ '. <br />CantractorAddress: • i����l.S,a�+�,:�•rz�1�,�:�a:� , � p.;•r��»: .� . , ..- 3� ' <br />Cur=t tJss of Building: t,'V n> ,-- -w <br />. • • S.•(9tngraAatdty�•�Msj�f;'Rndiy�.Qxnnavd�vJ-,fps-i�phW��.�VaO�r�+eta) i . <br />TM <br />_9 :s: a^. rd'-' va•xy{y�.i.. Via.?ave _ .): .. :�4 • ,�.•a?•' :l^1Yti�5dt4r.'i r��y f's i;=i <br />of Building Construction - <br />Pop and <br />onstruction:P opand mbild in-kind LudS¢ag+� [] New [� Replmuent W1 ie'ktnA. 0 Demolition <br />(pumlllimcopebmrltpybcd,� 'i'. .. .. 'r.'�e, :'&}x�iQ.��,�.•:°isi:�.a� i,��i .31f,.�•=' . <br />Desalption of tmposed tbrk: „ 1� l �t t : A <br />• t�WaerlContr'actor: 3�sac .S"�W •�7-�--'3.� �1�„-,_ e•mail • <br />(Thies,�a+dtco-rrmpo�mithmtfyyotudm�raa) � _ <br />-0104h1RG►{GW / A K. anti/or . <br />