ARLINGTONCOUNTY, VIRGINI..-\. HISTORICAL AFFAIRS Ai~D LA..'IDl.\ll.<\RK REVIEW BOARD APPliCATION FOR CERTIF1CATE OF APPROPRIATENESS

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1 ARLINGTONCOUNTY, VIRGINI..-\. HISTORICAL AFFAIRS AiD LA..'IDl.\ll.<\RK REVIEW BOARD APPliCATION FOR CERTIF1CATE OF APPROPRIATENESS DATE l c I 3 Z- -=---==---- -BD RPC!# l (TO BE. COIUPLEI'ED BY STAFF} DESIGi'IATED PROPERTY: Name of Eftstoric District Address of Building OW':"mR: Name Address (if different) Phone (Home) EM AlL: PERSON Fn.ING APPLICATION, IF OTHER Til...\.,. 'I OWNER: Name QS e.g[ C J, o.r13 I '2"-- (Work) Address 1 l?? R,,/Q- R" l Dr''J <:: -<.;.J- C' 2 ( J i,. Cl 1 2:2 Phone (Home) (7c ;;.)..g 3-7!.( L:} (Work) C7c3) (03-(05 Relationship to Applicant -C--c,;o)...c-z..±.l-!...f'.!:!...s<--{. owc PROJECT ARCHITECT/ENGINEERS/CONTRACTORS: r:. (Q(; PuRPoSE OF APPLICATION: Repair (change of materials) Demolition Alteration New construction Addition Relocation Fence Outbuildings Tree Removal _Grading Sign _ Other Will an application related to this property go before any of the following? Board of Zooing Appeals Planning Comnrission Cotmty Board Other (please specifyt Does the proposed work require a building permir?.-::l YES NO Is any demolition anticipated?_ YES./.. NO If yes. please describe OVERVIEW OF PROPOSED W ORK (ATIACH ADDfiTON:U. SHEETS F NECESSARY): De scriptio n: () _\\ \,.._ r c.t-.,... J.t \ ' :r:... ;::.- c..., -\- y!trl Lf-5' 1'\..!\-.:...., \ 1., f:, I -= c.,..., ;:_. -;:.:. _, l.) ;, ;: -:1" ' \ "=' '- Fe e:_l - f. f J.. \ l,ll: - /' j.. ' - L - J. - i-r - I J 'f"<'j I ':I L... J, :.. :!' _J,. ; 2. :.. -.-c -., L :\HAl>,, CO.-\.\COA Application_.!Ol3.doc.u - -I._ l- t,._ :l Revised December!OU -. - '

2 Historical Affairs & Landmark Review Board do Historic Preservation Program 2100 Oarendon Boulevard, Suite 700 Arlington, VA Dear Review Board Members: LETTER OF TR-\..'lSITITAL Enclosed is an application for a Certificate of Appropriateness and the fouowiog attachm.eots: Drawiog(s ) --Indicate scale on each drawing. Site Plan I Plat Elevation Floor Plan Section Detail Pbotograph(s) - Please indicate number of photographs. Color Black/White J.Vlatecial Samplesll.\Ianufacturer's Catalog Cuts- Please describe all material exhibits. YOUR SIGNATURE BELOW CONFIRMS YOUR CONSENT TO THE FOLLOWING: 1. [understand tbat these materials will be placed in tbe Historic Preservation Program's building file for information about my property fouowing the public bearing. 2. [understand it is my responsibility to inform my adjacent neighbors of my building and construction plans for this project. 3. I hereby grant permission to the County's Historic Preservation Code Inspector to enter my property during the application and construction phases of my project. 4. [hereby grant permission to the County's Historic Preservation Code Inspector to take photographs of my property, including the existing conditions, during the construction phase, and after tbe projectiscompleted. // I/ / (Signed} -J '""' j. L:\HA.'\fl)_.ElP\COA COA -\.pplication l013.docxx vhed December Date r /' - ;..., I...,

3 FT. LINEAR ARLINGTON FENCE PERMIT REQUEST FORM NUMBER AND STREET e"' \)-t \1 SUFFIX ZIP CODE PERMIT NO. PROPERTY 322- \ a i d de n -z.-z..-z_e I ADDRESS NAME HONE FAX OPW LEGAL OWNER 'S'-\.1(.._ 0.'1\ \<'l.., \-\ 1!11 ( lc3)7);.._ '3 I '1'1 OF BUILDING/ NAME TELEPHONE FAX STAMP CONTR-ACTOR A S La.... J c... f " ). c.t., l A )i(... d.!>... \ / C V::, (;,., _-,(./ t: c ADDRESS \'<\. :),va ""'- G-f -_,.i ; l/ ' q "2-""2-c C:. STATE LICENSE NO. BUSINESS LICENSE NO. 2ro5c5l937 -a, o o c t..t 1 TENANT NAME Zoning LINEAR FOOTAGE FENCE RETAINING WALL BELOW 2 FEET IN HEIGHT HEIGHT FT HEIGHT J. 3 f/2 I n C.fl FOOTAGE Lba+- l flo Fr t'j..s \ n 1 Briefly describe the scope of the work and o(acement of wall or f{;!nce, inchulinq materials \qvc Cte \ y.acj \..1.\\ af-s:p,. b., \J X(oJ t. J. ) / '2-,J, W rb A"" "'f prey" no",\-.. H-> 'J' :\: f 9. 3 l /2- J> t,? <2f )"'" ) 1Ji..,,.;... ll/5 u J I b <- b'-'-.,..,. h=n e,., 'ro..l < 1,8Jc t....,. i....'1 c.x.j., F--e Ut 1.. { I c I s a;... l <,.J.!)) lo (4.1 :J lj.j + c- tl..\sc?l ' )"\- 0 Ce.Y.c<"-d... _t A. \ t r k d r'v,w..v:.q,."'" <!G " <- d-n..."-<- This application MUST be accompanied b)"'two copies of a scaled plat. CVA (..,. f rl t... '"l.'-"'.l V'I.I,.. \ I \ S. { C '(' AppUcanrs Sig":tur Address I "' 14 R._ \ /r: II T:!lephone. :J.,\!.., _ -- 4 \ J Dte Applicant's Name (Print). C :;- 1 ' o f- C: b. Ole VI 3 1 ry' J t k 1'- l -; z,. ( t_ - $ 1 (..), ±: REVISED 5/27/09

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5 !:LI b - oo - 0 co <0 gj z s_s_7 _g:s 0 f ' (o.- MC'J... z I I LOT 9-8 PARCEL 7- A wall LOT 9-A 12,927 sf z 0 I <( 0 3: 0 0::: >- <( n. z ld 0 ro I- 1-0 _J Manuai/Hegg HOUSE LOCATION SURVEY JOB#; FH AUGUST 2, 2005 LOT 9-A MAYWOOD ARLINGTON COUNTY, VIRGINIA APEX SURVEYS SCALE 1"=25' 7720VICEROYSTREET SPRINGFIELD, VIRGINIA 22151

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APPH 4200 Physics of Fluids

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