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� 7. <br /> 1 APPEND/X B <br /> 2 <br /> COA Applicatio�Number <br /> oRaN�E couN�nr <br /> DEPARTMENT OF ENVIRONMENT, AGRICULTURE, PARKS AND RECREATI4N <br /> HISTORIC PRESERVATION COMMISSI�N <br /> CERT{FICATE OF APPRt�PRiATENESS <br /> (For propased aiterations to designated Local Landmarks&properties in Locai Historic Districts) <br /> HISTORIC NAME OF PROPERTY (If historic name is not known,use current name or address) <br /> �OCATION (physical location,not mailing address) <br /> A. Street or State Route/Highway ' <br /> B. Town or vicinity <br /> LEGAL�WNER OF PROPERTY <br /> Name Telephone <br /> Address <br /> City/State Zip Code <br /> Signature Date <br /> APPLlCANT QR GONTACT PER50N INFORMATiOP!(if other than owner) <br /> Name Telephone <br /> Address <br /> CiiylState Zip Code <br /> Signature Date <br /> Proposed Work: , <br /> Please be as speciflc as possible. The Historic Preservation Commission(HPC)will not accept incomplete <br /> applications. Please[nclude four(4)copies of exterior elevations including ir�formation about proposed materials and <br /> four{4)copies of a site plan shQwing praposed grading and landscaping. Attach as many sheets as are necessary, <br /> depending on the complexity of the project. <br /> 3 <br /> 9/27/2010 Draft Orange County Design Standards 59 <br />