Broomfield Historic Landmark Application

							                         City & County of Broomfield
                         HISTORIC LANDMARK DESIGNATION APPLICATION
                                                     – SINGLE PROPERTY




1. Description of property or features to be preserved:__________________________
_____________________________________________________________________

2. Property Address: ___________________________________________________

3. Year Built: ___________        Age:_______

4. Owner(s) name and address:
____________________________________________________________________
Name
____________________________________________________________________
Address

5. Legal Description: ___________________________________________________

6. Applicant Information  Advisory Board        City Council       Property Owner

7. Reason for Designation. Check all that apply and attach additional information if
available.

 Exemplifies specific elements of an architectural style or period as follows: ________
______________________________________________________________________

 Is an example of the work of an architect or builder who is recognized for expertise
nationally, statewide, regionally, or locally as follows: __________________________
____________________________________________________________________

 Demonstrates superior craftsmanship or high artistic value as follows:
____________________________________________________________________

 Represents an innovation in construction, materials or design as follows:
____________________________________________________________________

 Represents the Broomfield area as follows: _________________________________
______________________________________________________________________

 Represents a style particularly associated with the environment of a group of people
in an era of history as follows: ____________________________________________
____________________________________________________________________

 Represents a pattern or grouping of elements representing at least one of the above
criteria as follows:_______________________________________________________
_____________________________________________________________________


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                         City & County of Broomfield
                         HISTORIC LANDMARK DESIGNATION APPLICATION
                                                     – SINGLE PROPERTY




 Has undergone significant historic remodel as follows: ________________________
______________________________________________________________________


 Is the site of a historic event that had an effect upon society as follows: _________
____________________________________________________________________

 Exemplifies cultural, political, economic or social heritage of the community as
follows: ______________________________________________________________
_____________________________________________________________________

 Represents an association with a notable person or the work of the following notable
person: _______________________________________________________________

 Represents a typical ethnic example/association with the following group:
_____________________________________________________________________

 Represents a unique example of an event in Broomfield's history as follows:
_____________________________________________________________________
_____________________________________________________________________

 Enhances a sense of identity of the community as follows: ____________________
______________________________________________________________________
_________________________________________________________

 Is an established and familiar natural setting or visual feature of the community as
follows:________________________________________________________________
______________________________________________________________________
______________________________________________________________________

8. Has the site or property been listed on the State or National Register of Historic
Places?  Yes                No


Date sent to Director of Community Development: _______________________
Director’s Recommendation to Board: _____________
Date of Board public hearing: ______________________________________
Publication Date: __________
Recommendation of Board:_________________________________________

City Council Public Hearing Date: _______________ Publication Date: ______
City Council Action:  Resolution No.                   Pass  Fail

Date of Recording (if Historic Landmark Designation made): ________________
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