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Application <br />- FOR - <br />Certificate of Appropriateiiess <br />I listoric Preservation Commission of South Bend & St. Joseph County <br />1275 S. Uafayetti,, Blvd, South &nid, Indiana 46601 <br />Malibu, Address: County -city Building Slull, Vend Indiana 466(11 <br />Phone; 574215-"7 8 - Fax: 574 -r -)5-957S <br />Website: <br />OITICE USE ONLY DO 1V07'CO3MPIT-11: ANY VVIVIES CONTILYWD IN MIS BOX OF ICEUSI, ONLY <br />Date Received Application Number <br />Past Rei ictus: NO <br />L <br />Staff Approval authorized by. ...... ... .............. ........ .......... <br />I listoric Commission Review Date: <br />. . . . ........ <br />F� Local 1andinark Lq<_ocal Historic District. (Name) <br />National Landmark PkK ational Register District. ("Vame) <br />Certificate of Appropriateness: <br />Denied [].Tabled E] Sent'ro Committee <br />Approved and Issued . . . ....... <br />DATF <br />Address of Property for proposed work: <br />_!13. . . ....... ...... <br />S,'?vo .Nun:4,rmud Street Namt' <br />Niinicofl'ropertyOwtier(s):(PI,�i-vi,ti.-it) JIalod . . .. .... ...... <br />Address of Propertner(s): 0_7 L4M <br />y Ow <br />Contractor(,,) Narne: t-t,�, L <br />........... ....... ..... <br />Contract CompanyName: 0 ------ <br />Contractor Address;_.7,-, <br />_ Y U 4 _x+ <br />Plione: <br />Current Use of Building: <br />. . .. . ......... ...... ------ <br />Co""o?""tia I .... C� r j, � ne? ludwirial - Va, anu'­ rtt,.) <br />Type of Building Construction: L42 <br />('W�kO frmuc -• Brick -Stal role -- Oth?r) <br />Proposed Work: E] In-kind F E] I <br />010re "T.P1,11le hak m". I/ 1'e:""'J % h) ") ] Utidscape ['I New Replacement (nviv;-kiruf) Demolition <br />be <br />Aa4Y <br />—T T _v _n -( <br />OKA <br />. .............. ....... ............................................. . .. . ..... . ............................. . ... ................. ... . ...... ....... ............. . ... ............... ............. ... . . ... . . ... ... ........ <br />_.__ APPLICA770N REQ11IREAIEN'15 ARE LIS71:D ON REVERSE SIDE — <br />