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MCommunity Development <br />L"31IN ) E Ar)o - SENC E: I R7.4 749 Main Sire - Lovesvrlhp� CO 8CL027 r 303 .3-5. 4�5!' -, 'Av r. foLe s0fe v <br />Hi ToRic PRE ERVATJ ON A PPLI CA-nON CASE NQ_ <br />P RG PEFzTY I riFORMATI O N <br />TYPE($) OF APP UCATION <br />1440 Can:Io:,i St. <br />Addrms: I <br />Q Probabl-e Cause f His#ori r- Slru rkuT-e <br />90-13 <br />U:att of CbEtistrun_ <br />Assessm ent <br />Legal De�scrEpt7orr <br />E3 Lea n(Im arks <br />7 <br />El Historic Preservation Fund Grant <br />Lot: iN :7 <br />Calr,,Ldoda Ply <br />Q Hi5toric .Pne-5e.rvati)n Fund Loan <br />�7Jb'CIIVISIon_ <br />Q AlteratEDn CertffiECatC <br />�a n dm ark Name and Resolution (If appl Icable); <br />❑ Derrtol rtl DfY Review <br />a Oth er; <br />AP P L (CANT 1 NFORMATI O N <br />REQUEST u MMARY <br />Rob2rL t0ussluorii'c & Cm rthia Corne <br />We �vou Id like a Historic StruGtune <br />N ame <br />Assassment dome to determine if the <br />Czm pang: <br />property will quaffiy for being <br />438 JeUeTson Ave. <br />Address; <br />LC us6vi lle 00 $ 27 <br />l dcnarked: a fu nd g rant and a <br />3033965600 <br />alterafforr fkl-reate. <br />Telephone: <br />i i�--musslewhitC @yah .tom <br />Email: <br />OWNER INFORMATION (IF DI FFE =� =NT.1 <br />SIGNATURES AND DATE <br />N am e, <br />Robart Mu,;sILwl7itc & CynFriia Comp <br />ompany: <br />Appli nt Name (print) Date. <br />.cC <br />Address; <br />Applrearit Signatu rii, <br />Telephone` <br />rner Name (print � Date <br />Email: <br />errs-r Sign atu re <br />0 <br />