WTC debris clean-up application form, June 2002

NYC 9/11 Public Portal Document

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THE CITY OF NEW YORK LANDMARKS PRESERVATION COMMISSION ~a0 Mil p • 1 CENTRE STREET, 9111 FLOOR, NEW YORK, NEW YORK, 10007. TEL: (212) 669- 7700 FAX: (212) 669-7960

APPLICATION FORM FOR WORK ON DESIGNATED PROPERTIES R2 . • This application will not be deemed complete until It Is so ceNfied by the Landmarks Preservation Commission. M application consists of an application form and the materials necessary to describe the project fully. If being submitted In response to a Warning Letter or Notice of Violation. please enter the number below. Please print or type all Items. If not applicable, mark NA.

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DOCW • DATE RECD OATS CERT. AS COMPLETE BLDG. OEPL • & OATS tiTAFF D NDMDL AL 0 ss.ec C tTEBlOR

PMW A 0 BEPOPT CIION OTHER WORK TWE

< <O k (a~l ~' -t'r~e-t' Exterior ( Koo DESIGNATED ADORM I FLOOR OR ArNRTMENT

PROPERTY Manhattan uoaoIH BLOCK (2. LOT ZONING DETAILED DESCRIPTION Removal of debris (cleanings from the collapse of OF PROPOSED WORK from exterior the WTC Use back of form If necessary building surfaces as per scope of work previously reviewed and approved by NYCLPC.

COST OF PROJECT WARNING LETTER / NOV # NIA TENANT/LESSEE/ opokm tel CO-OP SHAREHOLDER ADDRESS APT ♦ CITY. sua. zIP NIA ARCHITECT/ NAME TIRE a FM M 0Ctacmal 04004 o~vl ENGINEER If opplicoble ADDRESS OT SI5LLPcoor Fiber Control, Inc. (516) 781-3000 CONTRACTOR N trRE a FIQM p ooptcaolal n4ma IooN Ifopplcable 3010 Burns Avenue Wantagh, New York 11793 AooREss ctrst aP CODE PERSON FILING NYC Department of Environmental Proter:•,ion (718) 595-3718 APPLICATION r E tins &FMMopphcaael - - e.g. EKpeClot, AttoaW,, MonogtngAgent GIC. 59-17 Junction Boulevard 8th Floor Cororjw cIT STATE rm Yrtrk 11368

ARE YOU APPLYING TO ANY OF THE FOLLOWING? O Buildings Department O City Planning Commission OBoard of Standards & Appeals I am the owner of the above listedproperty lam familiar with the v.~ork proposed to my property and give my permission for this application to be filed. The information be carried out on and complete, to the best of my knowledge. entered is correct OWNER For apple atwm for wort on or in a 000parat*w or coneank*mr b ig. fna •am»r a tM Co-op Board or Condor intnn Astoelation. An afloat of the Coop Board or Condominium Alsodatbn must slpn Ole appYnton Pbess consul this Instn otlons tot faap let adddbnat Ydornotbn. ■I

SIGNATURE Note: Section 25-317 of Pie AdrrYflfafreXtre Code of the Coy of New York makes di punishable offense to wiefuoy crake false statements an this application

NYC-WTC 000093921