S:\Planning\Planning Division\Planning Div Forms\Applications\Landmark Commission - COA - 2021.docx Rev. 11/2020
V. ACKNOWLEDGEMENTS
I certify that [ ] I am the legal owner on record, or [ ] I have secured the property owner’s permission and
have full authority to make this application, and that the above information is correct and complete to the best
of my knowledge and ability.
Please read and initial below:
_____ I understand that all documents submitted with this application are subject to open records requests in
accordance with the Open Records Act / Texas Public Information Act.
_____ I understand that receipt of an application does not constitute application completeness and that staff will
review the application and return incomplete applications. I understand that application fees are non-
refundable once an application has been accepted and processed.
_____ I understand that if I am not present or represented at the public hearing, the Landmark Commission may
defer or disapprove/deny the application.
_____ I understand that, in considering my application, the Landmark Commission determines whether the
proposed work complies with the Design Standards for Historic Properties and the Secretary of the Interior’s
Standards for Rehabilitation and Guidelines for Rehabilitating Historic Buildings.
______________________________________________________ ____________________________
Printed Name and Signature of Applicant Date
______________________________________________________ ____________________________
Printed Name and Signature of Property Owner Date
VI. APPLICANT CHECKLIST
All documents should be provided in 8.5” x 11”, or please fold to appropriate size if larger. All drawings must be to scale.
Please provide electronic copies, if available. Other pertinent information to support said request should also be attached.
[ ] Pre-Application Meeting with City Staff (Staff initial here if waived: _____)
[ ] Elevation Drawings – Illustrating proposed structure and/or alterations.
[ ] Illustrations – Photos of current and proposed materials to be used.
[ ] Materials List – Please provide a complete list of the proposed materials to be used
[ ] Site Plan – Site Plan must include:
Scale, North Arrow, Legal Descriptions, Street Address
Location and dimension of the lot(s) and adjacent lots that may be impacted
Footprint of all existing and proposed structures, with dimensions and distance from property lines and adjacent buildings
All building setbacks (front, rear, side, structure to structure)
Location/type of driveways and sidewalks, with dimensions
Alley location and dimensions (where applicable)
[ ] Survey
[ ] Title Report– if property was purchased within the last 60 days.
[ ] Non-Refundable Application Fee $250.00 – New Construction Only (payable to the City of Galveston)
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