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Application <br />FOR - <br />Co f irate of Approptiatewss <br />.Hi:b* Fi+eaervadon Commission of South Bend A St Joseph Cwq <br />& Ldayette ovd., South Bend bilana 46601 <br />MaMngAdamr tuILd aj.. southeend,ryaa&H <br />Pbae 574-N <br />MW • lWc V4MJZX @ Bain. a ; . r ►. joeepitinne. <br />We dk h* / /wwtvjjoeePhoowt h dkmmm/ jrWkdmhWd . <br />OWCE USE ONLY» » »DO COMPLEZ ANYENnM CONRWW 1N BBOX > » »> OMCE USE ONLY <br />Date Receive /'.Q. o2o� Application Number oZO' /0 0 <br />PastReviewa: R&0owyj!wjxw ) CPS C • ' []•NO . <br />Staff Approval authorized by: Tide: <br />Histotic - Commiaion Review Date. 1 44, 0 20 ! D <br />Landmark ❑ Laval Historic DhWd <br />0 National Landmark ' ❑ Nationg Register District ov=4 <br />Certificate of Appropriateness: <br />Denied Ubled :0 Sent Zb Connnittes ❑ Approved and lwod . <br />Address of Property for proposed work-S)zOQ P T e_ A <br />• 8bst igalNum . <br />Name of Propert Owner(): Olm [ wW) <br />Address of Property Ova): ' p -�4 'off? : q • ��e ( �,.,!Z.�f �� AW <br />Conitraetor(s) Nance .n ' ��v 'c C !.1 J R 6& <br />Coatmet Company Now 2) taiA © vsl � V k_o w <br />Contractor Address: <br />Current Use of Butidiag: CC> <br />tsr��rry -d[y- Cep[- comae- [ara -vwe -art <br />Type of Building Con ;Wwfl n:_, r.N1cP - ;�i ccAe la3 <br />• ( t+ IboAFnares- Brtc�- Sllaes- �kd.- Caraete -W6a) <br />L qpmd �tepla: worm' ain -kited .�.l"cnpe ❑ New ' esnont w [ate. <br />e��ne[.n,kat1 <br />Des tion of Proposed Work: <br />Owner/Contracton: Fos:' e-mdl r� c`• >> �� :tc�srs ���n <br />end /or <br />