Certificate of Appropriateness Application - Copy Rev. 4/21
Certificate of Appropriateness Application
(Incomplete applications will be rejected)
HISTORIC PROPERTY INFORMATION:
Residential Commercial Property Platted Property Not Platted
Parcel(s) or Tax ID# (Required): ____________________________________________________
Historic Property Address: _ Total Acres
Proposed Work:
Other, Please Describe (fence, lighting, signs): ____________________________________________________________
APPLICANT/ PRIMARY CONTACT INFORMATION: (Please ensure email addresses are legible.)
Name: Company Name:
Address: City: State: ___ Zip:
Phone_________________________ Cell Number: Fax:
Email Address:
PROPERTY OWNER INFORMATION: □ check if same as above
Name: Company Name:
Address: City: State: ___ Zip:
Phone_________________________ Cell Number: Fax:
Email Address:
OWNERS AGENT/ REPRESENTATIVE INFORMATION: □ check if not applicable
Name: Company Name:
Address: City: State: ___ Zip:
Phone_________________________ Cell Number: Fax:
Email Address:
Exterior Alteration In-Kind Replacement Relocation
Demolition (in part or whole) Addition New Construction CITY OF DENTON • Planning and Development • 401 N. Elm St. Denton, TX 76201 • (940) 349-8541 • www.cityofdenton.com By signing this application, I certify that the above information is correct and complete to the best of my knowledge and grant staff access to the indicated property to perform work related to this request. I agree to provide any additional information necessary for this application as requested by the Planning Department or Historic Landmark Commission.
SIGNATURE:
(Letter of authorization required if signature is other than property owner)
Print or Type Name:
Known to me to be the person whose name is subscribed to the above and foregoing instrument, and
acknowledged to me that they executed the same for the purposes and consideration expressed and in the capacity
therein stated. Given under my hand and seal of office on this _ day of 20 .
(SEAL)
______
Notary Public Signature
For Departmental Use Only
Project #:
Project Manager:
Submittal Date:
Accepted By: _________________
Staff Notes:
_____________________________
_____________________________
_____________________________