1
CERTIFICATE OF APPROPRIATENESS
APPLICATION
All fields must be completed before application will be processed.
Department of Community
and Economic Development
100 N. Jefferson Street, Rm 608
Green Bay, WI 54301-5026
(920) 448-3300 - phone
(920) 448-3426 - fax
www.greenbaywi.gov
www.greenbaywi.gov
File Number:
1. Address:
2. Parcel #:
3. Owner of record: Phone:
(Address) (City) (State) (Zip)
4. Applicant’s Name:
(Address) (City) (State) (Zip)
(Office Phone #) (Cell Phone #) (E-mail Address)
5. Present use of Property:
6. Description of Project: Describe each item of the project separately. Include existing condition(s) when
describing item. Also, describe the proposed work, material(s) to be used and the impact the item would
have on existing historic or architectural features of the property. (Attach additional sheets if necessary.)
7. Attachme
nts:
Site Plan of the lot (Please indicate direction of north, dimensions, structures, etc.)
Sketches, drawings, building and streetscape elevations, and/or annotated photos
Exterior photos
Specifications (materials) for the project
Phased development plan for the project (if proposed in phases)
Inspection report (required for demolition requests only)
Cost estimates for all the proposed work
Other (please explain):
