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t <br /> Application Form ' - Page 2 <br /> Period 1908-1926 Style or Design Various _ <br /> VII . Pleaee eubmit the following documentation ( attach to <br /> back) : <br /> �. A . Kap ahorcing the landmark( s ) location and property <br /> lines and/or ehoraing the dietricte ( s ) location <br /> and street boundaries. <br /> B . Preferably black and xhite photographs ( 5" z 3 1/2 " ) <br /> and elidee showing rhenever poesible front , rear and <br /> side views of proposed landmark( e ) and/or diatrict . <br /> C . tiritten etatement of significance ( ezplain in more <br /> detail Part VI . above) . <br /> D. Legal description of propoeed landmark( s ) and/or <br /> district ( s ) . <br /> B. Name , . telephone number and mailing addresa of all <br /> property oranera of the proposed landmark( e ) or <br /> historic district( s ) . <br /> - ---------------- ----------------------------------------- <br /> FOR OFFICZAL USE ONLY <br /> Application RevieNed By : <br /> Name of Historic Preservation Administrator <br /> _��)�-b�"-`=`J-- -- - — --- ---- <br /> Date -" �^� -1,�,`-' ^ � " <br /> • __�=i.i�i��_—,—��—��-- — <br /> Name of Director of Community Development <br /> ----��-�, ---�\=--��-�=p���----- ,-- -- -- ---- <br /> � . <br /> Application is recommended for : <br /> Approval [ � <br /> Approval with modificatione [ ] - <br /> Re� ection [ ) <br /> � � <br /> ----�-�_�_��- � ------------ <br /> ----------- ------------ <br /> Date ire to of Community Development <br /> (Attach Director of Community Development written opinion ) . <br /> 2 <br />