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REGULAR CERTIFICATE OF APPROPRIATENESS: <br />❑ On-site Inspection <br />Date <br />❑ Analysis Preparation Date <br />❑ Owner Notification Advertisement Date <br />❑ Notification of Decision Date <br />❑ Additional Materials Requested Date <br />STAFF RECOMMENDATIONS: <br />Approved ❑ Denied ❑ Approved, pending modifications ❑ Final Approval <br />Signature of Historic Preservation Board Chairperson <br />Page 6 of 7 <br />Date <br />