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Document Augustaga_doc_298add484f

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AUGUSTA HISTORIC PRESERVATION COMMISSION APPLICATION FOR CERTIFICATE OF APPROPRIATENESS Applicant Name: Address: Property Owner's Name: PROPERTY DESCRIPTION: Location: Tax Map & Parcel Zoning: TYPE OF PROJECT: Demolition ___New Construction ___Rehabilitation ___Addition ___Relocation ___Other PROJECT DESCRIPTION: PROPOSED WORK: Please refer to the attached checklist to determine what information to submit for the project being proposed. It is in the interest of both the applicant and the Historic Preservation Commission that all required information be submitted. Lack of information will delay review of the application. SIGNATURE OF APPLICANT: DATE RECEIVED: DATE REVIEWED: APPLICATION APPROVED_________ NOTE: APPLICATION IS VOID IF WORK NOT STARTED WITHIN SIX MONTHS OF APPROVAL DATE