WTC debris clean-up application form, June 2002

NYC 9/11 Public Portal Document anrr a.aa r Ur 1'(LW YUKK LANDMARKS PRESERVATION COMMISSION 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 response to a Warning Letter ar Notice of Violation, please enter the number below. Please print or type all items. If not applicable, mark NA

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DQCITET# DATE RECD DATE CERT. AS COMPLETE &DG. DEPL a a DATE ETAFF

O aOIV1UAl D SOEMC C INTERIOR

PMW A TION OTHER WORK TYPE

1 lZ ta4J&1 (f - 1'(3 JOhn Sl-r& Exterior DESIGNATED PROPERTY Manhattan BOROUGH '7 &LOCK 9 is LOT 2on*G DETAILED DESCRIPTION Removal of debris (cleaning) from the collapse of OF PROPOSED WORK from exterior the M'TC 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/ wv.E ins ria.a toast CO-OP SHAREHOLDER A SS APTa CmCSWL2wCOOE NIA ARCHITECT/ NAME IIILF a wim fK oppkccdet pt10ME 10001 ENGINEER If applicable ADORFSS CRr Fiber Control, Inc. (516) 781-3000 CONTRACTOR NMME, TIT E A FQ.l W kcmtel p E lcoA If applicable 3010 Burns Avenue Wantagh, New York 11793 sWL DP ccOE PERSON FILING NYC Department of Environmental Protection (718) 595-3718 APPLICATION MAN TmE&NlMtnoppkcaael e.g. Expeditor. Anoff*y. M-09ng Agent etc. 59-17 Junction Boulevard. 8th Floor Corona Nw Yrrk 11368 cm STATE. Zr

ARE YOU APPLYING TO ANY OF THE FOLLOWING? O Buildings Department O City Planning Commission ❑ Board of Standards & Appeals lam the owner of the above listed property. lam familiar with the r.•ofk proposed to be my property and give my permission for this application to be filed. The information carried out on entered is correct and complete, to the best of my knowledge. OWNER For ambralont for w rk en or in a eoopana.a or mn4aaYrbn OLltaeig. O+e, s e,a C•Aap Board or anw~a "fl• qD 'lilt mom ►'r- or pmt r PONE Ids I Candominkrm Auodaeon. An affrnr of the Coop Board or Condominun AsecOelbn mull sign 1Ma ape aIOn Pleas. mrwrx U.. I' ,.idle,,. b Fire ter addxbMl kdoralaeon. oo3X - 376( SIGNATURE Note: Seddon 25-317 of the Arlminbtraeve Code of the City of New York makes d a punishable offense to wilfully make false staterrenta on gds application 4 a

NYC-WTC 000093924