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SPECIAL CERTIFICATE OF APPROPRIATENESS: <br />❑ On-site Inspection <br />❑ Analysis Preparation <br />❑ Owner Notification Advertisement <br />❑ Notification of Decision <br />❑ Additional Materials Requested <br />STAFF RECOMMENDATION: <br />Date <br />Date <br />Date <br />Date <br />Date <br />Approved ❑ Denied ❑ Approved, pending modifications ❑ Final Approval <br />Signature of the Historic Preservation Board Chairperson <br />Page 7 of 8 <br />Date <br />Page 54 of 98 65 <br />