WTC debris clean-up application form, June 2002

NYC 9/11 Public Portal Document THE CITY OF NEW YORK LANDMARKS PRESERVATION COMMISSION ~aD M4,p . 1 CENTRE STREET, 9TH FLOOR, NEW YORK, NEW YORK, 10007. • -~ `+, TEL: (212) 669- 7700 FAX: (212) 669-7960

APPLICATION FORM FOR WORK ON DESIGNATED PROPERTIES Fz' 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 respc:tse to a Warning Latter or Notice of Violation, please enter the number below. Please print or type all items. If not applicable. mark NA.

75 CRQqY -'" Exterior (IQoQ~~/R L~~ DESIGNATED AooaE55 FLOOR oa APARDA M

PROPERTY Manhattan ~t tnocic L0 :ora+G DE. DESCRIPTION Removal of debris (cleaning) from the collapse of the WTC OF PROPOSED WORK from exterior building Use be.* of form If necessary surfaces as per scope of work previously reviewed and approved by NYCLPC.

COST OF PROJECT WARNING LETTER / NOV # NIA TENANT/LESSEE/ nw.E. TIRE a HTM is aoo4caolei NtofrE rear CO-OP SHAREHOLDER ADDRESS APT a OT SWL bP CODE NIA ARCHITECT/ NME.rIR1:+FrRMPococooie) weDt~Etoori ENGINEER If applicable .'aorass arc STATE DP CODE Fiber Control, Inc. (516) 781-3000 CONTRACTOR -•- Irf E S FQ t P tookcaaeI wtoNE faoy Ifoppicable 3010 Burns Avenue Wantagh, New York 11793 ADO~u cm: STAIE. 2p c"

PERSON FILING NYC Department of Environmental Protection (718) 595-3718 APPLICATION MnooacmeI pNptEtdp~ e.c. Espedt ge tto c. Monopirp Agent etc' 59-17 Junction Boulevard, 8th Floor o nna Now v,,rti 11368 ADOREss Cm: STATE- Se aoE

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 listedproperfr lam familiar with the rvrk proposed to be carried out on my property and give my permission For this application to be filed. The information entered is correct and complete, to the best of my knowledge. OWNER Foc spplimbwa br woh on or b a mopsrsws a mWo kAwnb a.9. a»"owwrsun Coop Baud a Condomh4m Assodalipn. An dradar of a. Co-op Scan! a. CondonMnksn AssodiSon must sign Pis application Psass nsus the boUveboi for Fang be addnlonal kdorn.tpn. rod? SIGNATURE Note: Sec-on 25-317 of the Administrative Code of the City of New York makes it a punishable offense a wiplufly make false atalements on "%s application

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