Orange County NC Website
Attachment 2 <br /> ORANGE COUNTY <br /> DEPARTMENT OF EN IRONMEN'. A RPDULTUREr PARKS AND RECREATION <br /> HISTORIC PRESERVAT104 COMMISS1014 <br /> PERTIOCATE OF .APPROPRI T'E.9 <br /> (For Propmawl aMrralmns to des haled Local Lamlmark!s & properi�es In LGCW r•Irslor-w: DkS9rn Es) <br /> HISTORIC NAME OF•PROPERTY (iFtkMtorJc n4&me It nol known. use Purrent na" or addrew <br /> LQPLTION fphymeal wetori, not ninil3ng addrepej <br /> A Suee-1 or-fete RoufelH owny I -- P L <br /> R Tmm or vicinity . S r <br /> LMALOMER OF PROPERTY <br /> Narn Telephone ' <br /> A,i4rese . <br /> Cityl$late dip Come_ t <br /> r <br /> PWW�ANT OR CONTACT P RSON INFORMATION(if alher than over) <br /> Nance ACLL- ._ EUJ&'C- .., Telepborie _ _ f c <br /> Address 1,ni #1 6 U 4 <br /> Zip Code . <br /> Signawre� --- Date 0 11 Iw p <br /> PrapOsed ork- <br /> Plaove be as speobc ea pas4ibW. The Hotaft P►etervafim CDfnwm*eron (HPC)wHJ nol accept incorroeta <br /> appYc#f ar,ig P48es4 provWe digital copes of extioner alevataom induding inforrnatom aboul proposed metenale arod <br /> "titre appli-cable, ■ digital Gop3r of tha vie plan showrng proppaed grodwng and lendeeaping Aflach as many sheets <br /> as are neonlWy ding on the�cprr�plexi of the project. <br /> ' l�'�lJ�rY�iUjk 1tT <br /> t 1f r-1t Tr iJ -ter r s _ "► �� —— <br /> t S <br />