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SFA Y'r-70sF <br />E W a► <br />o �tti�p. <br />Application <br />FOR - <br />F Certificate of �Appropriateness a <br />Histork Pr eservaiWa Cion of Sduth Bend & St Joseph County <br />125 S, Wkyett.e Blvd., Sgpth Bend, idipm 4601 <br />MaMngAdam&M li uain .sr;thB"4 Wlam 466M <br />Pham 574.235M • Parc 57PaeiSRSJC vciC m st jos% nus <br />Wela M IOF//www a*hp/hider ht mI <br />,-5 2v /3 <br />OFFICE USE ONLY»»»DONOTCOkinMANYENtM CONAM INnrisBOX >»>» OMCE USE ONLY <br />Date Received _t 0152-0 <br />Past Revievvx BYES (b&@fua-wm)_,, . 5 ❑ NO - <br />Staff Approval angWnlzed by: Thie: <br />Historic Commission Review Date: I 1,� <br />Local L wAmark (Local historic misttict Wmm i� v i l) ck` vv <br />C] National Lanawk [] National Regtater District p:,4 <br />Certtiirate of ApproprLtteneas: <br />❑ Denied (] lkbled [] Sent lb Committee p Appm"d and Issued <br />Address of Property for proposed wor)c,s� <br />2I � 10q <br />Nance of Propedy Ownw(s): (Ne pint) <br />Address of Property Owner(s): IAOIC 5 5 TLI.) • (p / <br />Contmbr(s) Now <br />Contract Compow Names <br />Contmdor Address` I. f <br />City. / Plume�r�ll'r <br />Current Use of Mding: c 1'/ L� <br />nsgkFaed/y=Mrdff-Fim9y-CoaaxkM-C,00ennimit-Mdwtdd-Wad dr) <br />Type of Building Construdion: <br />(t�diai.e—t�iat—sm••—at�l-crRaee- �� <br />Proposed Work —U Ba -kind p Landscape ,] New ❑ Replacement (got Ix -NW) ❑ Demolition <br />Gna�e thus •nrecac 1•ry lr dlacix�) <br />DestaiptimofProposed Work: c2 1A1L�dd� • 4`J ?'1 <br />) ( i3LO a- <br />YV� <br />lin : 1 L ()y -L4 (AmO) l <br />r <br />• r n _� `� / _� n.: 1 I ,1_/ /� /! 111 LSM !4e!! I ?I' <br />• � Ir x Ix xl • x• » <br />LOO/l00'd ObE# 83:80 EIOZ/OZ/90 <br />