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Cityo, <br />Wm Louisville <br />C I.( )R;AI) L <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: :11\ 11 (G 4- l� <br />b. Mailing Address: 1 1 5 1 ei r cC ht_e_ <br />c. Telephone: 3o <br />d. Email: <br />Applicant/Contact Person ;if different thAn nwnerj <br />a. Name SC- <br />r1�S�ilin Arrrjrpcc JG <br />u. Lniaro. <br />...L. ERT r iNFOR MATT ON <br />r Vt IIY <br />Historic Preservation Fund <br />Application <br />Gi v 14 e� moo' '�LGl ►-�c e�-f> wl6t rt (lwwL <br />