WTC debris clean-up application form, June 2002

NYC 9/11 Public Portal Document \ ItAN1KI SIREF, 9TH FLOOR, NEW YORK,NbWYU",WWI ,

J APPLICATION TEL: (212)669-7700 FAX: (212) 669-7960

FORM FOR WORK ON DESIGNATED PROPERTIES This application will not be deemed complete until it is so certified by the Landmarks Preservation Commission. An application consists of an application form and the materials necessary to describe the project fully. If being submitted in response to a Warning Letterer F2 •

Notice of Violation, please enter the number below Please print or type all items. If not applicable, mark NA.

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Exter DESIGNATED ADO° ORAPARTUM I PROPERTY Manhattan BOROUGH 133 BLOCK OO lot 20reNG DETAILED DESCRIPTION Removal of debris (cleaningi g from the collapse of the WTC OF PROPOSED WORK from exterior building surfaces as per scope of work use back of tort If necessary Y reviewed and approved by NYCLPC. previously

COST OF PROJECT WARNING LETTER / NOV # NIA TENANT/LESSEE/ WAC sits & mu r oppfcobbl CO-OP SHAREHOLDER ADDRESS APT ♦ Cm; SLATE SP CODE NIA ARCHITECT! NN.£ tIRE a FIRM p appkCablel PnOnS Iaafl ENGINEER If applicable A SS CRY SINE DP CODE Fiber Control, Inc. (516) 781-3000 CONTRACTOR WWE. tmE & FIRM is w0' (aovi If applicable 3010 Burns Avenue Wantagh, New York 11793 ADDRESS arc sWE LP CODE PERSON FILING NYC Department of Environmental Protection (718) 595-3718 APPLICATION NME. TIRE B FIRM l appkCobleI PACK Idott e.g. Expeditor. Anomey. Monogtrg Agent etc. 59-1 557 Junction Boulevard, 8th Floor oorroo~n~a.R NPw Ynrk 11368

ARE YOU APPLYING TO ANY OF THE FOLLOWING? O Buildings Department O City Planning Commission O Board of Standards & Appeals lam the owner of the above listed property. lam familiar w ll.:he 'orit proposed to be carried out on my property and give my permission for this application to be filed. The information enteredis correct and complete, to the best of my knowledge. OWNER For applcafats is, work on or r 000perat to or condominium buid,rp• Chi T(e OMMHrE NONE and TRUE tpleose 5400 or PC"] PMONE Idosl aN •owners the Coop Bury of Condomh4m Aswdtion. An dfswr of We Coop Boats at Cadomktkmr Aasodatbn must air tMs appkat*n Please wrtwe the InskuWons ton Fakq for adddbnal kdonrtadon.

►w - SIGNATURE stGNAtutE of

Note: Sedion 25.317 of the Admktislrative Code of the City of New York makes t a punnahable offense to wttduay make (else statements on tu, appkcation aw on.

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