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<br />APPUCAll0N FOR A HISTORIC DISTRICT <br />"Ct:KnFlCATE OF APPROPRIAlENESS" <br /> <br />Bysfalf: Applit;alion #. ~No Date SubmiIled: <br /> <br />lie; /;:7- <br />I I <br /> <br />... .. (AppIicanI. Please pnMdtJ InlOlldiiliun betulSen the double 6nes) <br />: c: ~ 0 <br />PropertyAddressorloGation: ~'\ l \ le.n-\-h u-lree..+ <br /> <br />Owner"s Name: Lot'l t Sco-t+ JV\ey~'- Phone: (ca,?) ,03 -''1t{ct <br /> <br />AppIca..I"s Name & Ccxnpany (ildlL_lIJ: $PJMe <br /> <br />AppfICal'1t"s Mailing Address: <3Atva ~ <br />Cell ~ ) <br />App. Confact Info: Phone: Lel3 ct1., -G89'- Fax:' <br /> <br />Type d Property: Residential V CommeIciaI <br /> <br />EmaI: SC!ot~ Cooks 4 u @. ~"",..,l,.,.y .rr. 'd"" <br /> <br />Pubfic or Ofher <br /> <br />. . <br />PROPOSED RESTORA11ON I RENOVATIONS I REPAIRS I RB OCATION I ETC: <br /> <br />~( <br /> <br />':") 'v JJ t a tt'tHI'l. <br /> <br />The HisIoric Preservation Board requires that the blowing kIbmation!lm be incfuded willi an ~ ~fioo pdarto.. <br />Wicatian being aooepCed byslalf: <br />. Detailed Plans. including a Bile DIan and eIevaIion(sl: <br />. Color and .nabial wmoIes: <br />. Manufadurer"s sales 1Iendunt: <br />. PhoIoo.aAas:; and <br /> <br />~?=r~lZ-"--_.CA--~"~~_~ <br />SIGNATURE OF llfE and/or APPLICANT <br />. (~do NOT__ BELOW this lnel <br /> <br /> <br />-SIgnage <br />-LIghting <br />_ New Uafn BuikIng or AddiIb1 tJ ExisIing ~ <br />_ New k;ce s s aty.BIdg. (garage. carport. shed) <br />_ New deck.13IIlp. pallo. *- <br />_8uBding. DenIOlilion orReloc.iIiJon <br />_ Gener.II Repairs (desaiJe below) <br />_ 0Iher (desaJ)e below) <br /> <br />\~ -e. <br /> <br />_&IBIb w.. <br />_ &fleIb Doors <br />_ Windows <br />_ Poaches <br />_AIIlnings orCalIOpies <br />_Felalg <br />EldleI~ Painting & Cobr Oanges <br />:z: Roofing <br /> <br />ACTION TAKEN: Date: \7;;' {OJ. ;;( Lj 7.. () c' l <br />, <br /> <br />BBY staff: Approved V- Denied _ Reason for Denial: <br /> <br />mJiy HPB: Approved L/ Approved wiIh modifiGaIIu.lS noted below* and/or on aIIached shestr V <br />Denied <br />* !-Fe Condition(s) of Approval: <J~e,j j/t7 [/ L <br /> <br />Signed: <br /> <br />>91- )~'J/ <br />( <br /> <br />Dale: (/,; tvl. ;; i/ 2lX~ oJ <br /> <br />, <br />