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Date Amount Fee Master File Hearing CITY OF PASCO HISTORIC PRESERVATION COMMISSION CITY HALL, SECOND FLOOR 525 N 3RD AVE PASCO, WA 99301 (509) 545-3441 Fax (509) 545-3499 [EMAIL REDACTED] Property Mailing Email Daytime IMPORTANT: PLEASE READ THE GENERAL INFORMATION BOOKLET CAREFULLY BEFORE COMPLETING THE APPLICATION FORM. A Certificate of Appropriateness is requested for: Exterior remodeling or change of color New construction (an addition or a new building) Sign(s) Demolition Preliminary Review Change of use Estimated cost of proposed work: $ You may be required to provide: Scale drawings (plans, elevations, sections, details) Photographs, slides APPLICATION FOR CERTIFICATE OF APPROPRIATENESS FOR THE CITY OF PASCO REGISTER OF HISTORIC PLACES ---PAGE BREAK--- Finish samples Please describe proposed work in the space below (or attach a description): Will you be removing or covering any original architectural features? If so, please specify (i.e. soffit, brackets, trim, windows, etc.) I hereby certify that I am the owner of the property or that the proposed work is authorized by the owner of record and I have been authorized by the owner to make this application as his/her authorized agent. Many certificates can be approved by staff within a few working days, however, some are referred to the Historic Preservation Commission for review. If the application is referred to the Commission, I understand that a public hearing notice will be published. The Commission meets the Second Wednesday of every month in the Council Chambers, City Hall, 525 N 3rd Avenue, at 7:00 pm. The completed application must be submitted no later than fourteen days prior to the scheduled meeting. Once a Certificate of Appropriateness is obtained, it may be necessary to apply for a building or zoning permit. Signature of Owner or Authorized Agent FOR OFFICE USE ONLY The Historic Preservation Officer and/or the Historic Preservation Commission have reviewed the Certificate of Appropriateness and recommend, in conformance with PMC 27.080.020(5) of the City of Pasco: Preliminary Approval of Certificate of Appropriateness Final Approval of Certificate of Appropriateness Denial of Certificate of Appropriateness Historic Preservation Officer Chair, Historic Preservation Commission