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<br />APPUCATlON FOR A HISTORIC DISTRICT <br />"CERTIFICATE OF APPROPRIATENESS" <br /> <br />By staff: Appliqation #. <br /> <br />Contributing: Yes / No Date Submitted: <br /> <br />. (Applicant Please provide information between the double lines) <br />C ,: Property Address or Location: ....!f 2 I ~ q i{ g <br />Owner's Name: Freel .f P /t( I?G k r ~/)7.S Phone: 7 J s-:- } <1 z- -r <br />Applicanfs Name & Company (if cftffetefJt): AI / ~ <br />I <br />Applicanfs Mailing Address: St1177e- as a .hnc- <br /> <br />App. Contact Info: Phone: <br />Type of Property: ResidentiaL.L <br /> <br />Fax: ' <br /> <br />Email: <br /> <br />Commercial <br /> <br />Public or Other <br /> <br />PROPOSED RESTORATION I RENOVATIONS I REPAIRS I RELOCATION I ETC: <br /> <br />Exterior Walls - _ Signage <br />== Exterior Doors _ Ughting <br />_ Windows _ New Main Building or Addition to Existing Building <br />Pon:hes _ New Accessory. Bldg. (garage. carport. shed) <br />== Awnings or Canopies _ New deck. ramp. patio. ete. <br />_ Fencing _Building, Demolition or Relocation <br />~ Exterior Painting & Color Changes _ General Repairs (describe below) <br />~ Roofing _ Other (describe below) <br /> <br />~ ~y~~rposed_"'OO (- other sheeld necessary) Kc TO of? 1'} Iv . Wnc- <br /> <br />The Historic Preservation Bo8rd requires that the fOllowing Information M.Yn be included with an application prior to the <br />application being accepted by staff: <br />. Detailed Plans, including a site elan and elevationls}: <br />. Color and material samelas: <br />. Manufacturer's sales literature: <br />. Photoaraehs: and <br />~~~~_~~_m=Si__~aOOpmd~ <br /> <br /> <br />SIGNATURE OF THE NER and/or APPUCANT <br />:4 icant do NOT write BELOW this Dne <br /> <br />AC710N TAKEN: Date: j 1 t 67 <br />~y Staff: Approved _ Denied_ <br /> <br />Reason for Denial: <br /> <br />~PB: Approved oK-.. Approved with modifications noted below. and/or on attached sheets <br />Denied _ jYA-' ~NU'__~WI JtJ0,,- /j~~A.) 1/17107 <br /> <br />· HPB Condition(s) of Approval: <br /> <br />Signed: jjJ- ~Af <br /> <br />Date: <br /> <br />1/ \'r I'D? <br />