Orange County NC Website
17 <br /> (Duplicate as needed . ) <br /> North Carolina State Historic Preservation Office <br /> CERTIFIED LOCAL GOVERNMENT PROGRAM <br /> IV , Inventory Update Form for Destroyed Architectural and Archaeological Resources <br /> Federal and state CLG regulations require that certified local governments periodically update <br /> their surveys of historic properties by adding properties whose existence or significance was <br /> previously overlooked or unknown and by noting those properties which have been destroyed . <br /> The purpose of this form is to provide basic information about resources which have been lost . <br /> This information is to be completed by the CLG commission and forwarded to the State Historic <br /> Preservation Office for incorporation into the statewide inventory of historic buildings and <br /> archaeological resources . CLGs are encouraged to submit the forms throughout the year, but <br /> may subnut them at the end of the year along with the Year- End Report . <br /> CLG * Preservation Commission <br /> Historic Name of Property <br /> Location : Street or Route <br /> Town or Vicinity County now <br /> Was the property ( check all applicable) : <br /> Listed individually in the National Register <br /> Part of a National Register Historic District <br /> A locally designated historic property <br /> Within a locally designated historic district <br /> Not listed in the National Register or locally designated , <br /> but recorded during an inventory of historic resources <br /> Under consideration for local historic property <br /> a at <br /> designations or inclusion in a local historic district <br /> Please identify the means by which the property was destroyed or lost : <br /> Neglect/deterioration <br /> _ Fire <br /> Vandalism <br /> Demolition by private owner <br /> Demolition by federal , state or local government <br /> Demolition by owner with a certificate of appropriateness <br /> granted by the local properties or district commission <br /> _ Moved outside of CLGjurisdiction <br /> Other (please specify) <br />