WTC debris clean-up application form, June 2002

NYC 9/11 Public Portal Document THE CITY OF NEW YORK LANDMARKS PRESERVATION COMMISSION ~•o 1 CENTRE STREET, 9TH FLOOR, NEW YORK, NEW YORK, 10007. TEL: (212) 669- 7700 FAX: (2I2) 669-7960

APPLICATION FORM FOR WORK ON DESIGNATED PROPERTIES tz This application will not be deemed complete until it is so Certified by the Landmark 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 Letter ar Notice of Violation, please enter the number below. Please printer type all items. If not applicable, mark NA.

00051# DATE RECD DATE CERT. AS COMPLETE atDO. DEPL I & CAME STAFF O trtOMpttsl O SCENIc C WERIOR

PMW ONE fl C oc A fl REPORT ON OTHER WORK TYPE

75 MgR"q = t . 7-' Exterior (c4 14c, DESIGNATED FLO R OR APARTAEM PROPERTY Manhattan BZ BOROUGH ILouc LOT ZONNG DETAILED DES';RIPTION Removal of debris (cleaning) from the collapse OF PROPOSED WORK from exterior of the WTC Use ba.k 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/ NAME- ra a Fnkl Faopwcoblet py Et CO-OP SHAREHOLDER ADDISM APT a art sWE ap COPE NIA ARCHITECT/ MUAE.MUaFranploppwcoolel P'cr*poh ENGINEER If applicable ADDRESS 0111 SlATE. 2v CODE Fiber Control, Inc. (516) 781-3000 CONTRACTOR NAME. MUBFRMpaopwcaelel F„aEpan Ifopphcob4e 3010 Burns Avenue Wantagh, New York 11793 CrIY. skis. LP COOS PERSON FILING NYC Department of Environmental Protection (718) 595-3718 APPLICATION MywE.mtE&FmMnopo=blel P ,EwoN e.g. Espeotla. Attorney. +ogingAgentetc. 59-17 Junction Boulevard, 8th Fl oor Cornnp fasts Ynrk 11368 ACOI SS Car, Wit. m &TOE

ARE YOU APPLYING TO ANY OF THE FOLLOWING? O Buildings Department ❑ City Planning Commission OBoard of Standards &Appeals I am the owner of the above listedproperty. lam famaar with the v..ovk proposed to be carried out on my property and give my permission for this application 10 be filed. The in!ormation entered is correct and complete, to the best of my knowledge. OWNER F« sppi=hom Mar wart an or in a (-,T) . l lLtL. meps sthe « eorrdarrsnkrrn ardds _.n,...,eere~..n.,e. .a..._._ ._. _._._._._._.r._._._._._._._._._._._._._..,......-., a.e 'own o the uooaloop awry or I I Conaominwrm Assx+swon. M dsoer of are coop Board as ConeonMnwrrn Assoc4aon mist sOn 0" spphcalen Pwass 0onwe au Instnutlons 1« Fawg i b sambwl wdorrmwn. i _ _ _. _._._._._._. NYC DEP _ lO &Cfor_owr~e _ SIGNATURE ;nca,I~ruTFOFo I — Nola: Section 25-317 of the Adm*gtratire Code of the Cdy of New York makes it a punishable offense to wdtfusy make false statements on this appbrJ4on an. c.c%

NYC-WTC 000093927