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Project Identification Form Draft Property Information: Name of Property_________________________________________________________ Address______________________________City______________State____Zip_______ Property Owner___________________________________________________________ Address (if different from above)_____________________________________________ Date of construction____________ Building type________________________________ Brief statement of significance_______________________________________________ ________________________________________________________________________ ________________________________________________________________________ Property designation (check all that apply): Local landmark ________listed (give date) _________ eligible Project information: What is the current condition of the property?___________________________________ If property is threatened, describe nature of threat________________________________ ________________________________________________________________________ ________________________________________________________________________ What steps, if any, have been taken to preserve this property?______________________ ________________________________________________________________________ ________________________________________________________________________
Project Identification Form What needs to be done to preserve this property?________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ List any studies, plans, etc that have been conducted on this property, with dates:_______ ________________________________________________________________________ ________________________________________________________________________ What is the community commitment for saving the property?_______________________ ________________________________________________________________________ ________________________________________________________________________ How can Historic Fort Collins help? __________________________________________ ________________________________________________________________________ ________________________________________________________________________ Submittal Information: Form completed by: Name______________________ Affiliation___________________ Address________________________City__________________State_____Zip________ Telephone________________ Fax_________________ E mail_____________________ Date submitted_______________ Please attach additional information to help Historic Fort Collins evaluate this project, including slides and/or photographs and a map showing location of the property. Send completed form and attachments to: Historic Fort Collins
Development Corporation, PO Box 272622, Fort Collins, CO 80527-2622.
Questions? Call Mary Humstone at 970 482-8939 or e mail humstone@verinet.com
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