CITY OF MURRAY
Ph: 270-762-0350
Fax: 270-762-0306
M
urray City Hall
500 Main Street
Murray, KY 42071
www.murrayky.gov
CERTIFICATE OF APPROPRIATENESS APPLICATION
ARCHITECTURAL REVIEW B OARD
Application/Reference Number: ______________________ Contributing_________ Non/Contributing________
Property Address: ____________________________________________________________________________
Applicant Name: ______________________________ Property Owne r: ________________________________
Address:_____________________________________ Address:_______________________________________
City: _________________State: ____Zip: __________ City: _____________________ State:____ Zip:________
Phone: ________________Cell:__________________ Phone:__________________ Cell:__________________
Contractor/Architect Company:__________________________________________________________________
Contact:_____________________________________ Phone:_________________________________________
Address:_____________________________________ Alt Phone:______________________________________
City: _________________State: _____Zip: _________ Email: ________________________________________
Proposed Work (Describe proposed work below and attach additional information that will completely describe the project.
Information required may include photographs of existing structure or site, elevations, site plans, specifications, material
samples, or other drawings. Failure to supply proper documentation could r esult in a delay in processing the application and/
or denial of the request. If additional space is needed, add an attachment.):
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
Estimated date of project completion:________________________________
______________________________________________ _____________________________________
Property Owner Signature Date
______________________________________________ _____________________________________
Approving A gent Signature Date
OFFICE USE ONLY
CITY OFFICE -RECEIVED BY:________________________________________ DATE:________________ ZONE:_____________
TYPE OF REVIEW: BUILDING PERMIT REQUIRED_______________NO BUILDING PERMIT REQUIRED_________________
MAIN ST OFFICE-RECEIVED BY:____________________________ DATE:______________ REVIEWED:___________________
ARB MEETING DATE:___________________________________ COA ISSUE DATE:_____________________________
