WTC debris clean-up application form, June 2002

NYC 9/11 Public Portal Document rr nL U 11Y uP NEW YORK LANDMARKS PRESERVATION COMMISSION ' I CENTRE STREET, 9TH FLOOR. NEW YORK, NEW YORK, 10007. TEL: (212) 669- 7700 FAX: (212) 669-7960 -t. APPLICATION 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 Latter or Notice of Violation, please enter the number below. - Please print or type all items. If not applicable, mark NA

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PC DOCKET • DATE (tsC9 DATE CERT. AS COMPLETE 0=. OEPL C ► 0415 NAfF U P4Dkr1Dti4L C en5ecq

PMW A CI asPoen ICTION OTHER WORK IYPE

2 1 DESIGNATED PROPERTY Manhattan (I eORv'JGH !LOCK LOT SOP -a G DETAILED DESCRIPTION Removal of debris (cleaning) from the collapse of the OF PROPOSED WORK. from exterior building WTC Use back of form if neoessarf surfaces as per scope of work previously reviewed and approved by NYCLPC.

COST OF PROJECT WARNING LETTER / NOV # NIA TENANT/LESSEE/ NAIE TIRE& FAMPCpplCoblel RfoHE poi) CO-OP SHAREHOLDER AO SS APT • Cmr, 5141E ZIP CODE NIA ARCHITECT/ wv,~. mtE a Frm,T P opoi cobel PACK IooA ENGINEER If applicable Cm: STATE. !1P CODE Fiber Control, Inc. (516) 781-3000 CONTRACTOR NAME.RRE&RRMPoapkcocel PHOF*low If applicable 3010 Burns Avenue Wantagh, New York 11793 ccss cm sVUE aP CODE PERSON FILING NYC Department of Environmental Protection (718) 595-3718 APPLICATION NA#E ME a FOM P appacabie' P+fonE wo+l e.g aging .Atl "b"°°>r'° Agent °"' etc. 59-17 Junction Boulevard, 8th wYrrk 11368 CfF..55475.21P ODE

ARE YOU APPLYING TO ANY OF THE FOLLOWING? ❑ Buildings Department O City Planning Commission O Board of Standards & Appeals lam the owner of the above listedproperty lam familiar with the work proposed to be carried out on rn• , -r.p"•`rly and give my permission for this application lobe filed. The information enteredis correct and complete, to • best of my knowledge. OWNER For appn~stens f«u«t er«iss ey. ,tlln V. l''(Cuc((ca - P ..-.-.-._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _._ _ mopwan.s « c« darntrirm OtraOrp. ."'.•....,""._. M 'owner s nn Coop Beard « I I G«Morrir4m AssoGSSon. M alioar o1 ; ! the Coop Board « C«W«rrn*an Aswastbn must avn Ws appkatem Plssis consua the may suns for Fine for addnbnai ad«matlon. i......... . .- - - -- Zyp. •C -.-w~.~_-_ y=_-_- NYC DEP P,l/LF„ LCD for owner JF 0 v SIGNATURE aGHARIREOFOWfE — Note. Section 25-317 of the AEmafistMNe Code of the Lary of New York makes Ca punertable offense to willfully make (else stelemenet on rho application ate. W.

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