Historic District Commission Application

Historic Districts Commission Application

For Certificate of Appropriateness 

Town of Salisbury, Connecticut

• Application No.               
• Name of Property
• CTF. issued
• Ctf. No.
• Property No.
• Date

     Application is hereby made for the issuance of a Certificate of Approprintness under an "Ordinance Establishing Historic Districts within the Town of Salisbury", duly adopted on February 9, 1970, and enacted pursuant to the enabling authority contained in Sections 7-147(a) through 7-147(k) of the General Statutes of Connecticut, for the proposed work described below and as shown on the photographs, plans, or drawings (where applicable or appropriate), accompanying theis application:

• Address of Proposed work
• Owner
• Owner's address
• Applicant, if not owner
• Agent or contractor
• Address
• Proposed work is in connection with, a dwelling, an accessory building,a commercial buildingan industrial building, other(Specify)
• Nature and discription of proposed work (attach extra sheets as necessary):

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