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REGULAR CERTIFICATE OF APPROPRIATENESS: <br />❑ On -site Inspection <br />❑ Analysis Preparation <br />❑ Notification of Decision <br />❑ Additional Materials Requested <br />STAFF RECOMMENDATIONS: <br />Date <br />Date <br />Date <br />Date Received <br />Date of Expiration <br />Expiration of Grace Period <br />Approved ❑ Denied ❑ Approved, pending modifications ❑ Final Approval <br />Signature of Historic Preservation Board Chairperson <br />Page 6 of 7 <br />Date <br />