Orange County NC Website
�8. <br /> i <br /> PART 1 DATE OF APPLICATiON <br /> Please type, if possible,or print. All submitted materials become the pronertv of the Oranqe Caunty <br /> Historic Preservation Commission and cannot be returned. <br /> 1. HISl'ORIC NAME OF PROPERTY (if historic name is nof known, use current name or address) <br /> 2. LOGATION (physical location,not mailing address� <br /> A. Street or State Route/Highway <br /> B. Tawnship <br /> C. Crossroads CommunityNicinity <br /> 3. LEGAL OWNER OF PROPERTY(please indicate Mr., Mrs., Ms., Dr., or other appropriate title) , <br /> DAY-1'IME <br /> fvAME TELEPHONE <br /> FIRM ahd/orADDRESS <br /> C1TY/STATE ZIP CODE <br /> E-MAIL ADDRESS <br /> BRIEF S7ATEMENT OF SIGNIFICANCE <br /> Please provide a brief stafement or summary outlining the historical, architectural, and perhaps <br /> landscape, eiements that make the site significant. (This statement should be expanded for question#5 <br /> of Part 2 of the application.) � <br /> *Please submit current photographs of the property including all elevations of the main hause and any <br /> other importanf buildings. Please also include general phatographs of the property and include any <br /> important landscape features. (If you wish to use digital photography, piease submit hard copy printouts.) <br /> *�'Please also submit a sketch plan of the property showing the fiaotprint af all key buildings and the <br /> location of a!I driveways or farm roads. <br /> 2 <br /> 9/27/2010 Draft Orange County Design Standards 50 <br />