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