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BUILDING (3)Permit No APPLICATION FOR ELECTRICAL PERMIT 0 _ ' � F Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:lda, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. p , ' Owner's Name and Address ® i �° G !o No I5.t. ® Q • . Street Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot (..QT 7 6* S Block 44 1 Street and Number where work is to be performed —No .. T4' Street State work to be performed and purpose of building (By Floors) 1ik) ..1.e... V00 L, ptiwycLiest.Ni New Building Remodeling Addition , Repairs No. of Stories �� Amount of Permit $ (Signed) 4 5171— MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT 59 l! � N Street (Signe Subdivision Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses . Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Notary Public, State of Florida Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts is obligations as an employer of labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on w d under t is p t, as e licensed by Miami Shores Village. Master Electrician. STATE OF FLORIDA, COUNTY OP DADE. I Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE•P'T'B FIXTURES No. LAMPS REFR10. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST -- - D I L.c s ^" I. CHECK !. Zr°. _ ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. 19, A..,4-14 (ve1.,4t,!i,, MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST I C -2....--LS [�� CHECK ,, o Z 2s Permit No APPLICATION FOR ELECTRICAL PERMIT 0 _ ' � F Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:lda, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. p , ' Owner's Name and Address ® i �° G !o No I5.t. ® Q • . Street Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot (..QT 7 6* S Block 44 1 Street and Number where work is to be performed —No .. T4' Street State work to be performed and purpose of building (By Floors) 1ik) ..1.e... V00 L, ptiwycLiest.Ni New Building Remodeling Addition , Repairs No. of Stories �� Amount of Permit $ (Signed) 4 5171— MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT 59 l! � N Street (Signe Subdivision Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses . Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Notary Public, State of Florida Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts is obligations as an employer of labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on w d under t is p t, as e licensed by Miami Shores Village. Master Electrician. STATE OF FLORIDA, COUNTY OP DADE. I Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. � U L- Uj \ \G \ ti: (� SC\- \� \�� \ \ C� \ C : \.J . _ �� z " s c . - ' 0 ')() `_) \ ,/- ' r ii \`, \ -\• O \ Ifs J - C. A. \7" A C - 4 - 43 P - N \ \" E \..77. t L\ \,--)r. _ I \7 \ • \ J \ C ~ 1 sir Y _ 1 - - Rule aquatech Pool Co. ENGINEERS, DEVELOPERS AND EXCLUSIVE BUILDERS OF THE NoVacs SELF - CLEANING SYSTEM Mahe yours "Anothe p ool by Rule" Miami Shores Village Building Department 10050 N. E. 2nd Avenue Miami Shores, Florida 33138 Atten: Mr. Martel Dear Mr. Martel: August 6, 1973 In line with our telephone conversation last week, en- closed please find application, etc. for new pool construction at the Richard Carl residence at 310 N.E. 99th Street. Please return one copy of the approved plan in the self- addressed, stamped envelope provided for your convenience, together with the permit. If you have any questions please phone me on our direct Miami line (919- 3882). MAJaka Enclosures Very truly yours, RULE AQUATECH POOL CO. C(1°.-.4.-A°4-*/*--------ail" Merle A. Jack R U L E P O O L M A I N T E N A N C E C O M P A N Y CABLE: RULEPOOL Fort Lauderdale (305)942.8222 Miami /Hollywood (305) 949 -3882 Palm Beach (305) 833.6060 Delray (305) 276.5939 U u NATIONAL CNIMM:NC 000L INSTITUTE MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT. APPLICATION FOR BUILDING PERMIT Application is hereby made for the npproya1 of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, alai all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the 'iuilding Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address AV.•... &..E?'s e .,_Eigherd_ _ Gar]. ._. No.. 31Q. streetlb 't • .49th ► street Registered Architect and /or Engineer D.•...Pi.r... Britt . ..A.PP?R.ts .a Qs Name and address of licensed contractor Rule Pool co Ls. .S78Q.. Federal. Highway Fort Lauderdale Location and legal description of lot to be built on: Lot 7 & 8 Block 141 Subdivision Miami Shores Street and Number where work is to be done Same as above o �° State work to be done and purpose of building (by floors) ...._._.�,ter new ..._ �f la -- ••••••- -.•• -- •• _ -��"j , and for no other purpose. New Building Remodeling Addition col Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $...5, Amount of Permit $. 2 0.00 Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to ........... Ru1e_.PQO1 . .C.ompany The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an employer of labor under the 'Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Pennanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as arc required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this pcnnit, as are licensed by Miami Shores Village. Remarks (Signed )...._... ' 2 l� — °�o.st" -r �`"� - Rule Pool Company STATE OF FLORIDA, COUNTY OF 1. B�tARD Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared C • R. A'brpeth and who, being by me first duly sworn, upon oath deposes and says that he is the. Vice President of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No Disapproved (Signed) Date ...l�7 2 � Date. Read, Swqrn to and Subscribed befor e. Notary Public, State of Florida My Commission Expires 2/16/77 PLANNING BOARD _.._ DATE August 6 CL... to me well known, Chairman Member Mfcrnbcr .. Member Memb r .. . Member _.._..._ Council A proved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No.. -/f - Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owners Name and Address Mr . & Mrs Richard Carl N 310 Street _ N. - 9 9th Street Registered Architect and /or Engineer D. E. Britt Associates Employing Plumber's Name Rule .8101,.1'.0.. No,, ..— . m. „,...m.,.,..,. Str881.Na.., 61r. ..., 'iY Location and Legal Description Lot. 7 & 8 Block 141 Subdivldon iaM Shores Street and Number where work is to be performed —No Same as above Street State work to be performed and purpose of building (By Floors)_. Plumbing on new pool installation New Building ...... -.._.. Remodeling—___ _ _ Addition...__ Pool Repairs No. of Stories Size Septic Teak_.— •------ - - - - -- - - -- Type of Tank —_. Feet of Drain Tile. —.— — — -- __Dist. Feat of Tank or Drain Field from Well Nature of Water Supply: City—WeIL CitZ W &ter.- - ________ -- - Size of Soakage Pit Amount of Permit $ -aka Plb , Permit (Signed)- My Commission Expires Capacity Gals. .._........_.._ ._.._ Date__ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and has corn - plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) e L aC • -._.. � I-� � � P- Rule Pool - Company 2Iiiiiii iMMAX% STATE OF FLORIDA, )w ss. COUNTY OF BNEJWA Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared C. R. Morpeth Vice President to me well known, and who, being by me first duly sworn, upon oath dep oses and says that he is the ...__......... - • ...... .... ... _ ..... t _.. of the above described construction, that be has carefully read the foregoing application, and that he did sign the same, and that all fads therein by him stated are true. 2/16/77 • Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made wham such re-inspection is mads•neoessary by improper no'Jce for inspection, or faulty materials and /or worlmoanship. CLOSETS BATH TUBe SHOWIER,/ LAVA• TORIES TORIES SLOP SINK[ LAUNDRY TUee U RINAL/ CATCH BASIN FLOOR DRAIN DRINKING FOUNT'Ne TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM >SWIM'O POOL CONTI. X — LIST CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No.. -/f - Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owners Name and Address Mr . & Mrs Richard Carl N 310 Street _ N. - 9 9th Street Registered Architect and /or Engineer D. E. Britt Associates Employing Plumber's Name Rule .8101,.1'.0.. No,, ..— . m. „,...m.,.,..,. Str881.Na.., 61r. ..., 'iY Location and Legal Description Lot. 7 & 8 Block 141 Subdivldon iaM Shores Street and Number where work is to be performed —No Same as above Street State work to be performed and purpose of building (By Floors)_. Plumbing on new pool installation New Building ...... -.._.. Remodeling—___ _ _ Addition...__ Pool Repairs No. of Stories Size Septic Teak_.— •------ - - - - -- - - -- Type of Tank —_. Feet of Drain Tile. —.— — — -- __Dist. Feat of Tank or Drain Field from Well Nature of Water Supply: City—WeIL CitZ W &ter.- - ________ -- - Size of Soakage Pit Amount of Permit $ -aka Plb , Permit (Signed)- My Commission Expires Capacity Gals. .._........_.._ ._.._ Date__ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and has corn - plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) e L aC • -._.. � I-� � � P- Rule Pool - Company 2Iiiiiii iMMAX% STATE OF FLORIDA, )w ss. COUNTY OF BNEJWA Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared C. R. Morpeth Vice President to me well known, and who, being by me first duly sworn, upon oath dep oses and says that he is the ...__......... - • ...... .... ... _ ..... t _.. of the above described construction, that be has carefully read the foregoing application, and that he did sign the same, and that all fads therein by him stated are true. 2/16/77 • Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made wham such re-inspection is mads•neoessary by improper no'Jce for inspection, or faulty materials and /or worlmoanship. Disapproved . (Signed) Building Inspector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for thc approya1 of the detailed statement or ore plans and specifications herewith submitted for the build ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of thc Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the ,Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. L .� r .� 19 z 7 2 Ovmer's Name and Address ...... �?�1. ry Street�:4' Registered Architect and /or Engineer �,�l, „.. •�..76? „,,. „,,... Name and address of licensed contractor — ............................. Location and legal description of lot to be built on: // J � 11/4 Lot 71 e5 Block /// Subdivision , 'll.Clerl..y?. /__ ...r G'kfr e s 4 Street and Number where. work is to be done 314 :. State work to be done and purpose of building (by floors)..... ti°�2 /etec ...o Cl/. ,.tS?'(. ‘42/.7 ......_.._ �� ar�.f' �.� �cr� � /lv «,vs- s.y.e - ..Vic! _...GD� tell 4'IJ /.y-,4).(22/ .. c-/ ". -i,.. 4de,"0I .,e -c- .rcw-7 and for no other purpose. Repair, No. of Stories New Building Remodeling Addition To be construe c of C.4:0 /Ae.. Aind o(, fouadation...Ci iOc C e Roof Covering. , ,r'�!! -lel :A Estimate Total cas f ro nu is 6:10..* 4:1(2) Amount of Permit 3... .1�rYD Zone cubage required plan Cubage i Distance .to next nearest building. Size of Building Lot l e:�.,x...j / s Maxirnum live load to be borne by each floor I hereby submit all the / plans nd s for said building. All notices with reference to the building and its construction may be sent to.. ibt9A,.Z. G...� �T ' A The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, anti has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for ins lion on the site of the work s public otice or notices as are required by the Act. The undersigned agrees to employ only such su ors, oo to be r this pennit, as are licensed by Miami Shores Village. Remarks..._ (Signed) Date.. STATE OF FLORIDA, COUNTY OF DADE. i ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally ap- peared and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, end that all facts therein by him stated are true.. I �( Permit No.._ f !.� Date / 1 l L Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires to me well known, PLANNING BOARD DATE Chairman Member _ Mcrr,ber Member _ M ember .. .. _....._......_..._._ ...._....._ Member _ — Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re-inspection fee of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials anti /or workmanship. PLANNING BOARD AGENDA OF NW 12 1 t O i 1,410 ITEM NO. Name of Owner /Appl i cant DAMN ILL P1 -'i Phone No ."151 Address of Property, and /or Legal Description 310 99 STI Nature of Request R ° 'CW" L-PcN$ FOR- , OPS14 Pon- g'' zr- WAy Present Zoning -- 1 c6 +6 Area of Present Building Area with Proposed Addition Parking Spaces Provided Parking Spaces Required with Addition Setbacks as per Code Setbacks Provided Variances/ moptArt*1 ‘es 140 "- Cottr-otoktrSG , osAxt 5 -rRoe' u tkr.- t5 rmtilums kA N LNG , Council Action Required yl55, Date of Applicant Notification Planning Board Action A 1i Council Action 4kni2, 110 8 1 7 16 gIVIgd NoAnis 8 1 Ia / Cam w , / eja Di rector of Building and Zoning I ov a.�� a�f7lt�oe� 7 iami Jhores96lIage F L OR ID A 11.0 100. This . pr operty described as .',:tats"./.. and 8, Block 41, AN' AMENDED .-PLAT OF MIAMI SHORES SECTION NO. 1,- according to the Plat _thereof, as recorded in ?Plat Book 10, Page 70 - ''tof the Public Records of Dade County, Florida..,._ • • L. PROPERTY OF: Not valid unless embossed with Surveyor's Seal. r,C � CCE r, X v A BOUNDARY SURVEY 1 hereby certify that the survey repre- sented hereon meets the minimum technical standards set forth by the Board of Land Surveyors pursuant to.. Section 472.027, Fla. Statutes. There are no encroach ts,overlaps,easements appearing • n the Plat, other than as shown h eto. A 7.577765: - . 5";, Aulton, 310 N.E..99th Street, Miami:, f]orida T �t1 ST' r r. 0 DATE SCALE \0 -11- 8S 1" = 20' 0.1 0 • C.L. Frtd Pi - e W 2 z 0 0 W m LANNES and GARCIA, INC. ENGINEERS - LAND SURVEYORS - LAND PLANNERS Office address: 40 80 S.W. 84th Avenue, Miami, Florida 33155 " 7vlai {ing address: P.O. Box 561131, Miami, Florida 33156 DRAWN BY I 8 -7 03 This property described as: Lots 7 and 8, Block 41, AN AMENDED PLAT OF MIAMI .SHORES 'SECTION NO. 1, according to the Plat 'thereof, as recorded in Plat Book 10, Page 70 of the Public Records of Dade County, Florida. ; m i m m 2 m m 8 P. y g ` z v Ali rn v a o m � I o m -- m • PROPERTY OF: Fnd 1.5' L tr 0 t'• 0 0 x 4' wire --� Fence 0 O. Not valid unless embossed with Surveyor's Seal. 0 0,. I 14 • 11.0' Zo.o' one ;,, N cz FO;. 20.o' ■ ?A 7S7 77 tSS A BOUNDARY J '. SURVEY I hereby certify that the survey repre- sented hereon meets the minimum technical standards 'set forth by she Board of Land Surveyors pursuant to- Section 472.027, Fla. Statutes. There are no encroach ts, overlaps, easements appearing . n the Plat, other than as shown h reto. / /� /. V / 1 fla. Reg. Land Survey • No Q' a 13o' ;►n 15• /attey X 13 14 : IS 1 16 1 1 9 , I °i LOCATION SKE TGN 22'' Pmwe.mEn 00 00 _ • • ••• L I 1''L-L07 5.0' o r y ; 0 C3 • O 15.0' T E Residence • .15.0' • 1 - 5.5 • - ! - ( gyp —! ! Cor.crcLe ._ • o • concre,e 100. 00' - 15.8' r r 0 O O 0_ 15.0' SiciewalK 2.0' O m r _10.3' � 1 r --- i 18.10' 12.3' . "':_— -- Foo er+%,en4.• .. Aulton, 310 N.E. 99th Street, Miami, Florida. o ,' 29.18' I.L.E. °is" T Fr,d P;pe ti 0 O • . 1 - CAD' GL 0.1 0 o , �J' Fnd P; oe ft ft. 5 W LANNES and GARCIA, INC. . ENGINEERS - LAND SURVEYORS - LAND PLANNERS Office address: 4080 S.W. 84th Avenue, Miami, Florida 33155 Mailing address: P.O. Box 561131, Miami, Florida 33156 DATE SCALE DRAWN BY DRWG. NO \o -11- 8S 1" = 2o' I I.L I 185 -7203 MIAMI SHORES HISTORIC PRESERVATION BOARD 1. NAME OF PROPERTY: APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS 2. ADDRESS 3/0 ,f) : LEGAL DESC. J � � /�• G& /��az,.s. 3. NAME OF OWNER & ADDRESS: 4. NAME OF APPLICANT & RELATIONSHIP TO OWNER: dWUevr 5. PRESENT USE AND CONDITION: 6. TYPE OF PROJECT: (circle one or add unlisted project- (J. OTHER) A. MAINTENANCE OR REPAIR B. RESTORATION REHABILITATION C. E. ADDITION F. EXCAVATION G. DEMOLITION H. NEW CONSTRUCTION I. RELOCATION J. OTHER (EXPLAIN) 6 .41t,/ 4i/riZ)A444 S1/�e Of love p Wife ire•A�"..x<& 7. IS A ZONING VARIANCE REQUIRED FOR THIS PROJECT? . /OP 8. DESCRIPTION OF PROPOSED PROJECT, INCLUDING' WHAT CHANGES WILL BE MADE AND HOW THEY WILL BE ACCOMPLISHED. /� Q /Tw•vi toatale. a frylaueC ,APece l, L4r /, roes / , c � .s v tthWew(v'/X et' ,oreeiitsz al / U 7.z0 9. IF USE OF THE PROPERTY WILL CHANGE AS A RESULT OF THE PROPOSED WORM, EXPLAIN THE IMPACT OF THE CHANGE. xb, ��.1 _to ,, _ - , DATE The Board shall be supplied with copies of the Original Designation Report filed when the property was designated as a Historic Landmark and copies of any Certificates of Appropriateness granted previously for this site. APPPO\7FD : i 7'C. 774/