HPC_CoA_Demolition_Supplement_220203
Page 1 of 1 Historic Preservation Commission HPC_CoA_Demolition_Supplement
Certificate of Appropriateness Application Demolition Supplement
City of Prattville, Planning & Development Department 102 W Main Street Prattville, AL 36067 (334) 595-0500 / planning@prattvilleal.gov Address or Location of Property: ___________________________________________________________
Describe clearly and in detail the proposed work:
*Attached additional pages if more space is needed.
All items must be initialed as included or “N/A” if not applicable:
_____ Historic significance of the structure, including a narrative concerning any historical events or
persons connected with the structure
_____ Approximate date of the original construction and date of any major additions or alterations thereto,
if known
_____ Description of the architectural style or period which the structure represents, and any other material
available concerning architectural aspects of the structure
_____ Exterior photographs of the structure, showing, as near as possible, all the exposed surfaces of the structure
_____ Statement concerning any practical difficulties in making the structure meet the minimum code
requirements
_____ Present use of the property and surrounding properties and any proposed use following a demolition
_____ HPC Certificate of Appropriateness Application must accompany this HPC CoA Demolition Supplement
I have read the above statements and warrant in good faith that I understand and will comply, and that the information
submitted is true and correct. I acknowledge that submitting incorrect or incomplete information that results in delays
is the sole responsibility of the applicant.
Applicant Signature: ________________________________________________________ Date: ______ / ______ / 20________