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City,,/ <br />Louisville <br />The following information must be provided to ensure adequate review of your proposal. Please type or <br />print answers to each question. Please keep your responses brief. <br />1. OWNER /APPLICANT INFORMATION <br />Owner or Organization <br />a. Name: -V ^JO <br />b. Mailing Address: L S'fY''e.e. <br />c. Telephone: 2.. 3 5 809 <br />d. Email: `I [At ocdc.(*Q(k0"rci) C 0 -r,ei ce <br />Applicant /Contact Person (if different than owner) <br />a. Name: <br />b. Mailing Address: <br />c. Telephone: <br />d. Email: <br />2. PROPERTY INFORMATION <br />Historic Preservation Fund <br />Application <br />a. Address: 57) 1 S °U S h i E'J <br />Page 11 of 19 <br />