CITv OF PITTSBURGI Historie Review Commission Application fora Certificate cofAppropriatenes: DIRECTIONS: Plinase note: You must complete a Zoning and STAEFUSEONIX: Development Review Application (ZDR) along with this Application. The ZDR can be filed and fees paid online DATE RICEVEDS after creating an account at OnestopPGIL Please upload this Application when submitting the ZDR along with your LoT ANDI BLocK NUMBER: Completed applications must be received at least 13 business days prior tot the HRCI hearing. whenahearingi is DTRCT required. In order to confirm your spot on the agenda, you must confirm that your application has been received by ZDRA: emailing bstoricnaion ithalahpuan spporting documentation. DEADLINE: WARD: FEE SCEDULE: See attached. FPAD ADDRESSOF PROPERTY: 1419 ccioraes 57 4A 1233 APTICANT/PROPKIY OWNER INFORMATION OWNER NMELNPy Kses COMPANY NAME OWNER ADDRESS 223 BAr i RAA 152/2 APPUCANT NAME AHAS WARAKS COMPANY NAME MR. ASo vnw APPLICANT ADDRESS ZMSTA sT PEN & 152/2 APPLICANT CONTACT(EMAI) RRENOWAT 4/SAMPIoN, 7/52/29533 SUPPORTING DOCUMIENTATION (REQUIRED): Drawing a Photographs a Rendering Site Plan Other DETAILED DESCRIFTION OF PROPOSEDPROJICT(ATTACIE ANOTHER SHEETIFN NEEDED): Binecst dE EAmAFS PPgAMwTeL MwM SA2 LAa af Aeuss APPUICANTOK PROPERTY OWNER SIGNATURE: SIGN:, DATEE-ZE 2/ 200 Ross STREET I Civic BUILDENG, FOuRTII - FUDOR FITBURGNPACP CITY OF PITSBURGI Historie Review Commission Application fora Certificate ofAppropriatenes: DIRECTIONS: Please note: You must complete a Zoning and STAFFUSEONIN: Development Review Application (ZDR) along with this Application. The ZDR can be filed and fres paid online after creating an account at OneStopPGH. Please upload DATE RICIVED this Application when submitting the ZDR along with your LOTANDI BLOCKNUMEK: supporting documentation. DEADLINE: WARD: Completed applications must be received at least 13 business days prior to the HRChearing, when al hearing is DISTRCT:, required. In order to confirm your spot on the agenda.) you must confirm that your application has been received by ZDRA: emailing hiatociomaion pittalainhpusn. FEE SCHEDULE: See attached. FPAIDS ADDRESSOF PROPERTY: 142/ Lerundus S7 6H A/5233 AFTLICANT/PHOPIITY OWNER INFORMATION OWNER NAME: CKOAIIEKEwY Amasira NAME OWNERADDRIESS 923 ChatA $7 EAPA 152/2 APPLICANT ADDRESS: 2 Most 37 ERZ APPLICANTI NAME: GARIS ARRAkS COMPANY NAME RRENeL APPLICANT CONTACT(EMAI) RAEOPEAAKAhow, 77*20-9535 SUPPORTING DOCUMENTATION (REQUIRED): Drawings B Photographs D Renderings Site Plan Other DETAILED DESCRIPTION OF PROPOSED PROJECT(ATTACH, ANOTHER SHEET IF NEEDED): REMOVAL Of CANAY HPIALNT oF yEISAK A REAK oE HeusE APPLICANTOR PROPEKTYOWNER: SIGNATURE: - - 626-24 SIGN DATE - 200 Ross: STREET 1 Cic BUILDING, FOURTFLOOR I ISTORICKIVIEMETImECRONFACN 1419Columbus Ave GoogleEa G2021Googe 70ft