Historic Building Restoration Permit Application
Applicant Information
Full Name
Organization (if any)
Address
Phone
Email
Building Information
Building Name
Building Address
Year Built
Historic Designation
Local
State
National
Listing Number (if applicable)
Project Details
Scope of Restoration Work
Materials & Methods Planned
Reason for Restoration
Expected Timeline
Architect/Contractor Name (if applicable)
Additional Information
Attachments (drawings, plans, photos, etc.)