Additional Information for Certificate of
Appropriateness (COA) Application
101 W. Main St., Madison, IN 47250
hp://www.madison-in.gov/Index.aspx?NID=169
Phone: (812) 274 - 2750 Fax: (812) 265 - 3349 Email: preservaon@madison-in.gov
MADISON HISTORIC DISTRICT BOARD OF REVIEW
CITY OF MADISON, IN OFFICE OF HISTORIC PRESERVATION
Additional Information Sheet
Sign Informaon
Sign size: ___________________________________________
Sign leer size: _______________________________________
Dimension of building face:_____________________________
Sign message: ________________________________________
___________________________________________________
□ Flat on structure
□ At right angle
□ Beside door
□ Above door/window
□ On glass window
□ Other
Sign installaon:
Please explain other: _________________________
Sign materials: Please list sign materials. __________________
___________________________________________________
Additional Information Sheet
Fence Informaon
Fence height:_________________________________________
Fence length:_________________________________________
Fence materials: Please list fence materials. ________________
____________________________________________________
Fence installaon:
□ On a plinth
□ In-ground
□ With posts in concrete
□ Other
Please explain other: _________________________
Gate(s) and gate material(s): Please include number of gates
and the material for each gate. If there will be no gates please
put 0 (zero). _________________________________________
___________________________________________________