Laserfiche WebLink
APPLICATION F4R A HISTORtC DISTRICT , <br /> "CE1�TIFICATE OF APPROPRIATENESS" _ <br /> ey sta�Application#. Corrtributing: Yes/No Dafe Submitted: <br /> � (Applican�Please provide information between ihe double lines) <br /> ��Property Address or Location: �.� °'�"I ', "d` " - - ?� y;_ _ ;� ' d>� ; ; a �i� �� ' -=__ i'�"'. <br /> ✓� '• � Phone: <br /> Owne�s Name: ' .t = °� ` �� "°•� '�-`' <br /> � <br /> Appiicant's Name`&.Company(ifd,ffer+ent): - '+���=�� � %� a �`���'s- � � ��� � =�. �=}� <br /> y , <br /> AppiicanYs Mailing Address: ! � '� ��~�"f ���� �''�' <br /> �°�PP. Contacfinfo: Phohe:�•� �;;J'�'�,' ;'-.• :;Fax: Email: <br /> T r.,of Property: Resi�ntiai �_ Commercial Public or Other <br /> PROPOSED RESTORATION/RENOVATIONS!REPAIRS 1 RELOCATION!ETC: <br /> , iL"� S� a e <br /> Exterior iNalls . 1C���_ <br /> Exterior poors �,L ti 1 I` 1�;�� Llg�ng%�l e�+'� cCc i <br /> � i� �Windows—f��I G�z�- � � f�I , . New Main Building or Addition to E�dsting Buildng <br /> Porches New Accessory Bidg.(garage,carport,shed) <br /> Awnings or Canopies New dedc.ramp�pa�o.etc. <br /> Fencing Building,Dert�olitlon or Relocation <br /> Exterior Painting&Cotor Changes � �Generai Repairs(describe below) , /.0 �,� <br /> - �Roofing (�Lt i►11"i h� m��"��-(�f DC' "� l � _�Other(describe belaw) ��/"r���t�y ;�;C"/�1 N <br /> , , _.� . ^ <br /> '`t ,-.�� , <br /> Detailed description of proposed wo�1c: (attach other sheets if necess ry) �° .'.t�:. ����°-�. � `_ ° z 1t l <br /> � <br /> � , � !)C� l�'�'�� <br /> , , ,," � , � � , - � . <br /> The Historic Preservation Boa requires that the fodowing iMoRnation MUST be included with an application prior ta the � <br /> applicatia�being acxepted by statf: <br /> • Detaited Plans.induding a sfte nlan and elevaiion(sl: <br /> . Colo�and material samoles: <br /> • i�anufacturers sales literature: , <br /> . Photoarauhs:and <br /> • My other suoaortina documentation to show that the proposed woric is consistent with the adopted Departrnent <br /> of IMerior Standards. <br /> , `� � , - �� � <br /> . �>.- �-�'- � � -• 'r �-���' <br /> � : ,�..� :r.:�:, <br /> SiGNATURE OF THE OWNER and/or APPLICANT",- `'` , <br /> (Applicarrt do NOT write BELOW thls line) <br /> ACTION TAKEN: Oate:_i� � <br /> (�8y Staff: Approved 1� Denied Reason for Denial: <br /> l�By HPB: Approved ✓Approved with modificatians noted below'and/or on attached sfieets <br /> Denied <br /> 'HPB Condition(s)of Approvai:� -c2�� 1�i �"e-1"�>> ; �"e I l J S Ll ��',f/��'1. <br /> r} �/�? <br /> ��=:-. <br /> d�� ��'+ f�. !�� � �� �` �� '�'�'� z �w `,�i��f' �'��'°-�� - <br /> Signed: ���:�,� �,! � - �� � '` Date: - J � `� <br /> , �� - <br />