NYC 9/11 Public Portal Document
THE CITY OF NEW YORK LANDMARKS PRESERVATION COMMISSION
I CENTRE STREET. 9TH FLOOR NEW YORK. NEW YORK, 10007.
TEL' (212)669-7700 FAX (212) 669-7960
APPLICATION FORM
FOR WORK ON DESIGNATED PROPERTIES
2'
This application will not be deemed complete until It is so certified by the Landmarks
Preservation Commission. M application consists of an application form and the materials to
necessary to describe the project fully. if being submitted In response to a Weming 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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oocir • MTE RECD DAZE CERL AS CO. LETS kOG. aspI.. aDam SWfF
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OTt ER WORK
DESIGNATED
PROPERTY Manhattan f4/j /
SOROtlGlr Ir_5 ar ZONING
DETAILED
DESCRIPTION Removal of debris (c_eaningi from the collapse of the WTC
OF PROPOSED WORK from exterior buildi..g
Use back of form If necessary surfaces as per scope of work
previously reviewed and approved by NYCLPC.
COST OF PROJECT WARNING LETTER / NOV #
NIA
TENANT/LESSEE/ awka 1mEafaetpmocmel
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CO-OP SHAREHOLDER
APT• UKSW1.DPCODE
NIA
ARCHITECT/ wwtE VU &Few Pr oppeoael PHO E
ENGINEER
If applicable
am art BElIE. once
Fiber Control, Inc. (516) 781-3000
CONTRACTOR wwE, rtRE a frukt a oppsoaoiei PHONE p a l
dble
da 3010 Burns Avenue Wantagh, New York 11793
OTt swE avooe
PERSON FILING NYC Department of Environmental Protection (718)
595-3718
APPLICATION NME.511Ee FHOElooy
e.g. EXCM X Axgney.
MoRog,rtg Agent etc. 59-17 Junction Boulevard. 8th Floor Co -pna _ >Vew Ynrk 11368
ACORESS cm 1a.
ARE YOU APPLYING TO ANY OF THE FOLLOWING?
0 City Planning Commission 0 Board of Standards & Appeals
0 Bulldings Department
f am the owner of the above listedproperty. I em fn' aiar with the i or* proposed to be carried out on
my property and Si►'e my permission for th" •.,. ..on to be filed. The information enteredis coned
end complete, of my knowledge.
OWNER jtoo mee`nbbeestt
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Condon*Mim Aaaoaiuion. An Oewr Of C
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an
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NYC DEP for owe
SIGNATURE IRGNAttRE Of OWNER -- —
Note: Section 25.317 of ft Adinrletvabve Code of ale Cdy of New York makes a a punansble offense
to wisfupy make false statements on ads eppEnsen
NYC-WTC 000094031
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