Division ofZoning and Development Review City of Pittsburgh, Department of City Planning 200 Ross Street, Third Floor Pittsburgh, Pennsylvania 15219 HISTORIC REVIEW COMMISSION OF PITTSBURGH Application for a Certificate of Appropriateness Completed applications must be received at least STAFF USE ONLY: DEADLINE: hearing is required FEESCHEDULE See attached. Please make check payable to: Treasurer, City of1 Pittsburgh. ADDRESS OF PROPERTY: bo fssly Pimsbuyk H, 1$212 13 working days prior toi the HRCI hearing, whena DATE] RECEIVED: LOTAND BLOCKI NUMBER: WARD: FEE PAID: DISTRICT: 83 war OWNER: APPLICANT: NAME: LKe Giren ADDRESS: lob S18HST Prsbuyh P ISao3 PHONE: 4412 - 755- 1730 EMAIL: luKeoboren K eJahaiten NAME: STesle froperses LC ADDRESS: 3obas N,4712 CoR Ciak A2 6533) PHONE: EMAIL: REQUIRED ATTACHMENTS: Drawings E Photographs Renderings Site Plan Other DETAILED DESCRIPTION OF PROPOSED PROJECT: Pnshsul Aluhnhum m.ldin Grsund He wwindos To fruAT Eutve wstes lesks SIGNATURES: OWNER: y (Ger) APPLICANT: 3 DATE: $-G-24 DATE: $-6-21 BreEsey S GoogleEarth N GenlEagosuperaracn 200ft FF II II II