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Application <br />- FOR .- <br />Certificate of Appropriateness <br />Historic: Preservation Commission of South I3erid K St. Joseph County <br />1?,- S. Lifati`ett€• Blvd., 1x)uth Bend, Indiana • 60 <br />ia'Iailinf; Aciclress: Culltli4 C ity I3€cild'rict„ 5€iutll l ellCi, lildiMli' �(ir. >(j1 <br />Phone: 574- '_3::7 -€f798 • Fax : 8 Em ail: <al�ll.iil,u >, <br />lvcbsite :llttl / `wwiv.stjosepllc €> lint' iticiilnii .cumJsjl:ilp,limle.\.htilll <br />OFFICE USE ONLY » » >> DO NOT U) f I LETE A.'1, Y I:1: IMS CCJWA <br />VI :I`) IN TIIFS 13t;}Y » »» ()[TICE ITSI: ()Nf 1' <br />Date Received _ 1/ Application Number <br />Past Reviews: (_, ES 1 ONO <br />Staff Approval authorized IT W Title: . ___... <br />I listorir C'onililission Review Date: <br />i� local Landmark Lie mcal Historic District C'Ya»2ir} <br />National Landmark [_1 National R egister District (Nivnr) <br />Certificate of .'appropriateness: f <br />.N) )roved find Issued <br />Denied _; Tabled D Sent Ti> Conunitter. } } __.__...._._.. <br />_ MI <br />Addre of Property for proposed 'o rosecl work: ��� �'!•.• -. �. �L'`�, -l�l. �. `' '" <br />Marne of' Property Owticr (s): (T'irasc f'rira) <br />Address of Property Chvrier(s): 't--• - - -- <br />Coritractor(s) Name: ,.... <br />Contract Company Narne: <br />Contractor Address:.,, ___ <br />(Atv: <br />Current Use of Building: <br />q ''�. > �i7tttii:('— :t'}1fii2'F :s... `i Ij �i 2:i. —(ai`•, )�2 i3!.;ie i?Id r,. .. .. L.. . <br />Building Coilstrtrrticfrl: _._.. _.._ . . <br />Tvpe of I t �M�`���... _._..._ j�� .�.--- .._.........._._..___.. _._ --__ <br />...... ('rV''•i'.i fr; F . ;1 , i..,;A - !!'2:t - t,•,•i .. C: ^, t? :.. ='s <br />Proposed Work: _ ] In -kind Landscape (� New �] Replacement {2:::r.t:_n:i;:;) 7 Derriolitioir <br />t s.r +v. >�:::< - Vi:i . '�n:ss ,t ns :'i 3;'Jt / ♦ � � 1 � ,, <br />Description of Proposed Work: <br />C)�snr ontractor: lax:._.... <br />— APPLICATION RFQUIREJNI1:NTS ARI-* I.ISI'EI) ON R111YSE SIIDE — <br />