CITY OF PITTSBURGH Historic Review Commission Application for a Certificate ofA Appropriateness DIRECTIONS: Please note: You must complete a Zoning and STAFFUSEONIY: Development Review Application (ZDR) along with this Application. The ZDR can be filed and fees paid online DATE RECEIVED: after creating an account at OneStopPGH. Please upload this Application when submitting the ZDR along with your LOT AND! BLOCK NUMBER: Completed applications must be received at least 13 business days prior tot thel HRChearing, when al hearingi is DISTRICT: required. In ordert to confirm your spot on the agenda,) you must confirm that your application has been received by ZDR#: emailing historicreview@pittsburghpa.gov. supporting documentation. DEADLINE: WARD: FEESCHEDULE: See attached. FEE PAID: ADDRESS OF PROPERTY: /02/8 - Buna Vista. APPLICANT/PROPERIY OWNER INFORMATION OWNER NAME: Kuth Fanull COMPANY NAME: OWNER ADDRESS: APPLICANT. NAME: Tm APPLICANTADDRESS 772a COMPANYNAME: Niky batactag a Bh.PA. 15as A APPLICANT CONTACT (EMAIL): Bespin32 Agpilcon Cm.40-343128 SUPPORTING DOCUMENTATION (REQUIRED): Drawings Photographs Renderings Sitel Plan Other DETAILED DESCRIPTIONOF PROPOSED PROJECT(ATTACH ANOTHER SHEETIFNEEDED): Lpke ysliy ohungle m fnadl of huse du b Auuere hshins Appro 30aAt. APPLICANTORI PROPERTY OWNER SIGNATURE: 6-0-2000 SIGN: alay DATE: 200 Ross STREET CIVIC) BUILDING, FOURTH! FLOOR HISTORICREVIEWCPIISBURGHPA.SOV 1248-Buena Vista.st 100ft My