Application for Certificate of Appropriateness

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NAME OF APPLICANT: *

Organization, group or individual.

APPLICANT:

REPRESENTATIVE: *

Person authorized to sign contracts on behalf of the organization.

ADDRESS: *

CITY / STATE / ZIP *

MAILING ADDRESS IF DIFFERENT:

PHONE:

FAX:

EMAIL:

LOCATION:

PHYSICAL ADDRESS OF LOCATION:

IF NO ADDRESS, ENTER DESCRIPTION OF THE LOCATION:

ADJACENT PROPERTIES:

PROPOSED WORK:

ENTER DETAILED DESCRIPTION OF PROPOSED WORK: *

ATTACHMENTS:

Where applicable, attach information on sample materials to be used, photographs of existing property and, if available, drawings of the proposed changes.
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png pdf doc docx.

SIGNAGE:

DOES YOUR PROPOSAL INCLUDE SIGNS OR LETTERING?

Yes

SIGN DIMENSIONS:

SIGN COLORS:

MATERIALS TO BE USED:

METHOD OF SIGN ILLUMINATION (IF APPLICABLE)

UPLOAD SIGN DESIGN:

Submit a scale drawing showing the type of letter to be used, dimensions, and colors.
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png pdf doc docx.

CONFIRMATION:

SIGNATURE:

By typing my name in this Signature field, I agree that my electronic signature is the legally binding equivalent to my handwritten signature. Whenever I execute an electronic signature, it has the same validity and meaning as my handwritten signature. I will not, at any time in the future, repudiate the meaning of my electronic signature or claim that my electronic signature is not legally binding.

DATE OF SIGNATURE:

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Supporting Documents

Application for Certificate of Appropriateness (258 KB)

Application for Certificate of Appropriateness

Supporting Documents

Contact Information