CoApp

Application for a Certificate of Appropriateness

* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Phone Number *

Project Location *

Approximate date structure was built (if known) *

Note the year any major alterations were completed and indicate the source of data: *

Describe each job being performed on the exterior of the structure and/or property

What work is being done? *

What materials are being used? *

Will there be changes in appearance? *

Please submit any product literature and specifications, material samples, color samples, and photographs of the building conditions (both historic and existing). Additional documents can be emailed to daniel.vanholland@perryia.org

Product Information *

Max file size: 20MB

Material/Color Samples *

Max file size: 20MB

Property Photos *

Max file size: 20MB

Additional Uploads *

Max file size: 20MB

Additional Uploads *

Max file size: 20MB

Submit