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: (212) 669-7960

APPLICATION FORM FOR WORK ON DESIGNATED PROPERTIES tz 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~se to a Warning Letter or Notice of Violation. please enterthe number below. Please print or type all items. If not applicable, mark NA.

ic DOCWT a DNtE RECD DATE CERT. AS COMPLETE BLDG. DEPT. I & DATE WSF TNDNEtU'- 0 C wERIOp

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5 It4ij 4 j 5t E — Exterior (aa4 +A,4 ) DESIGNATED FtcOR OR APARIU M PROPERTY Manhattan B BOROUGH KOOK LOT ZOPN G DETAILED DES';RIPTION Removal of debris (cleaning) from the collapse OF PROPOSED WORK from exterior of the WTC Use beak 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/ wwL rHU a t31M fd morcw~eI PHOPE rood CO-OP SHAREHOLDER AUDREss APT a art sts. ap COOE NIA ARCHITECT/ 1wME TIRE B FrlNt ry oppicobtel PAO* ENGINEER If applicable ADORE art bP CODE Fiber Control, Inc. (516) 781-3000 CONTRACTOR MUMfE. This s ERM p aopicaeleI @H t,E 1 If applicable 3010 Burns Avenue Wantagh, New York 11793 Cry. STATE aP CODE PERSON FILING NYC Department of Environmental Protection (718) 595-3718 APPLICATION NAME.IDLEaFTra+nopocmel F,p,Ewove m ogvig gente1c. Moine vew Agent etc. 59-17 Junction Boulevard, 8th Floor corr+*+~ ACSTIESS tvew ynrk 11368 Cry. STATE DoE

ARE YOU APPLYING TO ANY OF THE FOLLOWING? 0 Buildings Department ❑ City Planning Commission ❑Board of Standards &Appeals I am the owner of the above listedproperty. lam famaer with the work proposed to be carded out on my property and give my permission for this application to be filed. The brlormalion entered is carted and complete, to the best of my knowledge. OWNER ForapW,uuom br wart on or in a CS)CAWG f'T K.t1. adomin , a tM Coop awry « I I Geneonw,srm Afaoe+su«,. M daoar OI law Co-op Board or CondorrMnkan Assodatton must sign a,is uppkcalen Ptaaw oomurt tM Inalivelona for Famg tat sawk Dal _._._._._._. NYC DEP _ 9 CX~~-f or_owrle _ SIGNATURE SIGNATREOFo R - Nola: Seclron 25-317 of the Admk,islrati,re Code of the City of New York makes it e punrahable offense to wiafuey Rieke false slalements on this ap04ntion mn.W..

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