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Historic District Council (HDC): Certificate of Approval (COA) Pre-Application Meeting Request

2. HISTORIC DISTRICT COUNCIL (HDC): CERTIFICATE OF APPROVAL (COA) PRE-APPLICATION MEETING REQUEST
   USE THIS FOR TO request a pre-application meeting with the Preservation Planner. To guide you through the process and to ensure that your application is properly processed, you’ll need to meet with the Preservation Planner at least 45 days prior to your anticipated submittal date to allow time for review.

   USE THIS FOR TO request a pre-application meeting with the Preservation Planner. To guide you through the process and to ensure that your application is properly processed, you’ll need to meet with the Preservation Planner at least 45 days prior to your anticipated submittal date to allow time for review.

4. Fees

   1. Certificate of Approval (COA): Pre-Application Meeting FREE

6. Please apply and submit all materials 1 week in advance in order to allow for a preliminary review. You will recieve review notes back that can be discussed at the pre-application meeting.

8. Pre-applications meetings are conducted each Tuesday. Please select a requested date and time.*
   Pre-applications meetings are conducted each Tuesday. Please select a requested date and time.

   Pre-applications meetings are conducted each Tuesday. Please select a requested date and time.

9. In the event your first choice is unavailble, please select a second choice.*
   In the event your first choice is unavailble, please select a second choice.

   In the event your first choice is unavailble, please select a second choice.

11. Please choose your preferred method to conduct your pre-application meeting*
    -- Select One --In-Person (City Hall - 204 Ash Street)Zoom Video ConferencePhone E-mail

13. PROPERTY INFORMATION
    Property information can be found at the Nassau County Property Appraiser's website --> Map Search

15. Historic District
    -- Select One --DowntownOld TownWaterfront Community Redevelopment Area (CRA)

17. Site Address*

19. City*

20. State*

21. Zip Code*

23. Paarcel ID #(s)*

25. OWNER OF RECORD
    As recorded witht he Nassay County Property Appraiser

    As recorded witht he Nassay County Property Appraiser

27. First Name*

28. Last Name*

30. Mailing Address*

32. City*

33. State*

34. Zip Code*

36. Telephone Number*

37. E-mail Address*

39. OWNER'S AGENT
    If other than owner.

    If other than owner.

41. Is there an agent other than the owner representing this project?*
    -- Select One --YesNo

43. First Name

44. Last Name

46. Company (if applicable)

48. Street Address

50. City

51. State

52. Zip Code

54. Telephone Number

55. E-mail Address

57. Project Description *

    Describe the proposed project in terms of size, affected architectural elements, materials, and relationship to existing structure(s).

59. COA APPLICATION CHECKLIST
    Certificate of Approval (COA) Application Checklist

61. Please upload all site plans, elevations, materials documentation, photos, and supplemental documentation you intend to submit for board approval.

63. Upload 1*

64. Upload 2

65. Upload 3

66. Upload 4

68. Upload 5

69. Upload 6

70. Upload 7

71. Upload 8

Leave This Blank:


73. 1. Receive an email copy of this form.
74. Email address

    This field is not part of the form submission.

75. Submit Submit and Print

* indicates a required field