Ithaca Landmarks Preservation Commission by welikeike

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									City of Ithaca                                                           App # ____________
108 East Green Street
Ithaca, New York 14850

Leslie Chatterton
Historic Preservation & Neighborhood Planner
607-274-6555

                  Ithaca Landmarks Preservation Commission
                      Application for Certificate of Appropriateness


Date: ____________________________                       For ILPC Meeting:_________________
Applicant’s Name: __________________________________                Phone:________________
Historic District: __________________          Email Address: _____________________________
Property Address: ______________________________________________________________
Mailing Address (if different from Property Address): _________________________________
Owner’s Name (if different from the applicant): _________________________________
Business Name: _________________________________
Description of Proposed Change(s):
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Reasons for Change(s):
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Please provide documentation of existing conditions and proposed alterations as
appropriate for your project, such as photographs, architectural drawings, sketches, and
product specifications (cut sheets) and/or material samples. Commission staff may request
additional information deemed necessary to assess the impacts of the proposed actions.




_____________________________                               ________________________
Signature of Applicant                                             Date


_____________________________                               ________________________
Signature of Property Owner                                        Date




A total of eleven (11) copies, one original and ten copies are required. Applications and
supporting documents must be submitted 15 days prior to ILPC meeting date. Please send or
deliver to the Department of Planning and Development, City Hall—3rd Floor, 108 East Green
Street, Ithaca, NY 14850, telephone 607 274 6550, email lesliec@cityof ithaca.org.

								
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