ARLINGTON COUNTY, VIRGINIA HISTORICAL AFFAIRS AND LANDMARK REVIEW BOARD APPLICATION FOR CERTIFICATE OF APPROPRIATENESS.

Transcription

1 ARLINGTON COUNTY, VIRGINIA HISTORICAL AFFAIRS AND LANDMARK REVIEW BOARD APPLICATION FOR CERTIFICATE OF APPROPRIATENESS DATE DESIGNATED PROPERTY: Name of Historic District Address of Building OWNER: Name Phone (Home) PERSON FILI:-IG APPLICATION, IF OTHER THAl"' OWNER: Name Address Phone (Home) (Work) Relationship to Applicant PROJECT ARCHITECT/ENGINEERS/CONTRACTORS: PURPOSE OF APPLICATION: Repair (change of materials) -~teration ~J\ddition Fence Demolition New construction Relocation Outbuildings Tree Removal Grading Sign _Other Will an application related to this property go before any of the following? Board of Zoning Appeals Planning Commission County Board Other (please specify) Does the proposed work require a building permit? NO Is any demolition anticipated? NO please describe OVERVIEW OF PROPOSED WORK (ATTACH ADDITIONAL SHEETS lf Description: Application_ docx

2 Historical Affairs & Landmark Review Board c/o Historic Preservation Program 2100 Clarendon Boulevard, Suite 700 Arlington, VA Dear Review Board Members: LETTER OF TRANSMITTAL Enclosed is an application for a Certificate of Appropriateness and the following attachments: Drawing(s)- Indicate scale on each drawing. Site Plan I Plat Elevation Floor Plan Section Detail,, Photograph(s)- Please indicate number of photographs. Color Black/White Material Samples/Manufacturer's Catalog Cuts- Please describe all material exhibits. YOUR SIGNATURE BELOW CONFIRMS YOUR CONSENT TO THE FOLLOWING: l. I understand that these materials will be placed in the Historic Preservation Program's building file for information about my property following the public hearing. 2. I 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. I hereby grant permission to the County's Historic Preservation Code Inspector to take photographs of my property, including the existing conditions, d ing the construction phase, and after the project is completed. (Signed) Date

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