Historic Plaque
Program Application
Date:
Name
of Applicant(s):
Applicant
Mailing Address:
Phone
Number:
Email:
Address
of Historic Structure:
Date
of Construction:
Historic
Function:
Current
Function:
Complete
the above application and please attach a Written Description of the Structure
(the narrative should explain the archaeological, historical,
architectural, or cultural significance of the proposed landmark) and one
(1) photo of the front elevation and a historical photo is available.
If
you have any questions regarding the Historic Plaque Program or need an
appointment to submit your application, please contact the Planning & Zoning
office at: (352) 528-3060, Option #3.