Providence Preservation Society Most Endangered Properties Nomination Form
Please complete this form to the extent possible with any information you have about the property. Nominations are due by Monday, September 5.

Contact Marena Wisniewski at mwisniewski@ppsri.org or 401-831-7440 for more information on the Most Endangered Properties Nomination process.

Property /Site Name:
Your answer
Address of Property:
Your answer
Briefly describe the site (physical condition, historic significance, original or current use):
Your answer
What effect do you think placement on the Ten Most Endangered Properties List could have on this property?
Your answer
Additional Comments
Your answer
Individual or group nominating the site (confidential):
Your answer
Address of individual or group nominating the site:
Your answer
Telephone:
Your answer
Email:
Your answer
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