Historic Plaque ApplicationPlaque Application Step 1 of 333%Address of Building to Receive Plaque Street Address City ZIP Code Pin No.Parcel No.Applicant's Name First Last Building Owner's Name First Last Address (if different from building's address) Street Address City ZIP Code Phone (Home)Phone (Cell)Email Ownership/Deeds Drop files here or Please upload a copy of all deeds.BookPageDate Date Format: MM slash DD slash YYYY GranteeBookPageDate Date Format: MM slash DD slash YYYY GranteeBookPageDate Date Format: MM slash DD slash YYYY Please list any noteworthy tenants or residents of the property, other than owners. Please include any interesting biographical information such as occupations, civic involvement, anecdotes, etc.Year BuiltArchitectural style of the building. Also include, if known, name of the architect, builder, or contractor.Significant architectural changes during life of building. Include dates if known.Building or property uses; include dates, tenants, or businesses, if known.Please provide a brief narrative of the chronological and historic development of the property; what makes the building interesting and other pertinent facts.Submit Current Photos of Buildings Drop files here or Submit Old Photos of Building or Property Drop files here or
