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. � <br /> � ����,���`�'��� ���W �8��'t��� @8�`���°� <br /> � � 66����fJ�E1��61� �� de@�������b�d��f�����99 -- <br /> i <br /> �y stat�°A��Il�,�Plon#� 8 L��. �o�f�6be�t�r�go `e�/f�� �afe Subene�edo_���.�� <br /> �r�t���l�rtn�ru t'.rt� ,�, <br /> � . ��� (Applrcan�Pleas�e pro�ici�infoamatia�n fiet�veen fh�e doubJ�e lines1 ��� ��� I/ <br /> Q � 7 <br /> � ���ea�perQy Address ar�.�¢��iot�:��f� �l�� .5�', ��� l�� <br /> ��������,�: � �� f� �n�����.� ���� ���C�;����� <br /> e�►�Pii¢�'t�°�Narr�e���paety{if diifeae�at}: <br /> �►Plicactt°�it�aili�g Addc�ss: �`�-� -���- /—�l�.-C- , Z��'�J�lr���C�-S �"-G .3�S�`'/ <br /> g� 3_�i3�SR� c���'•� " . G%u�/ <br /> �Po Gottt,a�lt�f�: Rhcatt�:�!3-7��� �03�- �� � f�aiJ:_�/►��S-s�N D rJ�!-�(�L, " <br /> '�ype of'a�rope:fy: R�sidential ��mm��ial �'ub�i��s O�her _ <br /> PROP05ED RES'II'ORi�'�'tO�N/REW6I�ATION�1 f�EPAiRa A R�LO�ATION d E'd'G. <br /> F.�c#eeior-Wal(�� � Signag�� <br /> E�#+erior poors . e.tgMing <br /> W�rtdaws . New Main Buitding arAdd�ion fa Exisfing 8ul�ing . <br /> Pottid�es New Accessory Bldg.(gairage,carport,shed) <br /> Awctings or Canopie� �teuv deck.ramP.Pa�o,etc. . <br /> Fencing Buitding,Demoii�on or Reioa�tian <br /> � Ex#erior Painting��aloe Char�ges General Repairs(describe belowr) <br /> �- �Rooflng � . �t}fher{�escribe betow� . <br /> Oetaited criptio ,af p �ase+�wa�-{ ch ofher she #s iF necessary) �1 �.�'1 f� . <br /> �'" 5 � � <br /> The Histaric Preservation Board requires that the fadowing iriform�tion MUST be included writh an applica�on prior�tire � <br /> aPPlicabion being accepted by sta�f: <br /> • Detaited P(ans,inctuding a site nian and eievationtsl: <br /> ' m Color and materiai sarnales; 1 <br /> • ManvPaac#�tre�s sa�es literatns�: <br /> . Photuaraohs•and <br /> Q Any afher sunpar�nq docurrier�afion t�s�tow fha#ttte peaposed wark is coasisterit with�the adopted Depardment <br /> of Interior Standards. <br /> :.g�`L1���;�t'�"�-�' _ <br /> Si r1ATURE 0 E QWNER and/or APPLlCAP1T <br /> ' {Ap�lecatrt do NOTwrite BEL.4W flrfs line) <br /> _..�_.� , <br /> ._.� <br /> ACTIQN TAKEN: !�a#ee -�3 r 2D f� <br /> ❑8y S#aff A�pr�veci Qenied Reasan for Denial: <br /> � <br /> Q By HPB; Appraved �APPrar�ed witt�mod'�'ica#ias�s nated belaw"andlor an attached she�fs <br /> Denied <br /> 'HPB Cqnditian(s)af Approvai: <br /> � �, ,,,/ji--�`" Date: 1 --�/ - ,.�6 I� <br /> Signed:�_ <br />