Historic Building Recognition Program Application Form
There is a flat fee of $60 for the historic research report produced by the Trumbull County Historical Society. This application will be forwarded to the Historic Sites Committee of TCHS for review and action.
NAME AND ADDRESS
Name (Last, First, Middle Initial) *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Phone Number *
Your answer
Email Address
Your answer
Do you own this property? *
If no, please provide the name and contact information of the owner.
Your answer
HISTORIC SITE INFORMATION (as known)
*Building must be 75 years or older.
Site Type *
Location (Township/Village/City) *
Your answer
Located in section number:
Your answer
Lot number:
Your answer
Lot size or acreage:
Your answer
Out lot (if designated):
Your answer
Date or period of construction (exact year, if known): *
Your answer
Architectural style or design (if known):
Your answer
Original owner/builder (if known):
Your answer
Original use/present use:
Your answer
Date(s) of alterations or additions (if known):
Your answer
Is the building on the original site? *
Significant Persons and/or Events Associated with the Property (if any):
Your answer
DESCRIPTION AND APPEARANCE
Might include: Number of stories, foundation material, frame and wall construction, window treatment, roof type and material, site plan, interior plan, etc.
Your answer
PAYMENT AGREEMENT
By submitting this application, I certify that the Trumbull County Historical Society may bill me the $60 fee for the historic research report.
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