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APPLICATION FOR A CERTIFICATION OF APPROPRIATENESS <br />FLO10, <br />r/TY OF SUN PNO <br />I. PROPERTY INFORMATION.- <br />Site <br />NFORMATION:Site Designation Name: lIJ( 4VL <br />Property Address: <br />LEGAL DESCRIPTION: <br />.y P'(_„ -3316 <br />U. THIS SECTION TO BE COMPLETED BY THE OFFICE <br />Date of Designation: <br />Date of Re -designation: <br />(if applicable) <br />M. APPLICANT INFORMATION: <br />Name(s) of Owner: <br />Name of Applicant: <br />W <br />Address of Applicant: h "-' FC 331 0 <br />Applicant telephone number: ►-t� t)j-q t -� j�(P ) �5�{ -s -432S <br />Please indicate below if applicant is requesting a Standard or Special Certificate of <br />Appropriateness. (Definitions are on page S.) <br />STANDARD <br />SPECIAL X <br />Page 1 of 7 <br />