DEP fax transmittal form for environmental compliance documents

NYC 9/11 Public Portal Document

TH® cm/ OP NEW YORK LANDMARKS PRESERVATION COVLMISSION One CenoeStoet,^ Floor North, New York, N. Y. 10007 (212)669-7700 FAX (212) 669-7960

APPLICATION FORM FOR WORK ON DESIGNATED PROPERTIES f-2

INs appllcallon will no) be deemed complete until it is so certified by the Landmarks Pnasdvalion Commission. An appGeatiofl consists of an application form and the materials necessary io desettee ths protect fuDy. If being submitted in response to a Warning Leiter or Notice ofVlolaHon, please enterthe number below. Please print Of type all items. If not applicable, mark NA

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AOOftEtS 'Oft DESIGNATED PROPERTY aODOUSH BUOCx lot zaMNS DETAILED DESCRIPTION OF PROPOSED VrORK Uaebeekoffcnn Vnee tsssry

COST OF PROJECT . WARNING LETTER / NOV #

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PERSON FILI 4G APPLICATIOM PHOM taw *0- Eia>«9«Aito4mf ManoBing Agent eto. art STATE.» coo*

ARE YOU APPLYING TO ANY OF THE FOLLOWING? □ Buildings Department C Cl^ Planning Commission □ Board or Stsnda'ds & Appeals

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