Application for
Certificate of Finding
Town of Culpeper, Virginia
Department of Planning and Community Development
400 S. Main Street, Suite 301 Culpeper, VA 22701
Phone: 540-829-8260 Fax: 540-829-8279
Pursuant to the Culpeper Town Code, Chapter 27, Article V (Historic District),
application is hereby made for a finding of architectural compatibility:
Tax Map Number:
Location:
Certificate of Finding #:
Property
Owner:
Proposed
Activity:
National Register: (Please check box if
in District - leave blank if not in District).
Contributing Structure: (Please check
box if contributing - leave blank if not).
Cost of Proposed Work: Estimate Cost of Alternative:
Describe Alternative:
ARB Meeting Date: Date of Approval/Disapproval:
Comments:
Date:
Owner
Address:
Owner
Phone:
Architect
:
Architect
Address:
Architect
City/State/Zip:
Architect
Phone:
Owner
City/State/Zip:
Applicant Signature: Date:
Administrative Section - DO NOT WRITE BELOW THIS LINE
Date Staff
Received:
Staff
Initials:
Drawings Submitted:
Y
ES NO
Town of Culpeper
Application for Certificate of Finding
Page 2
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INFORMATION TO BE SUBMITTED WITH APPLICATION
Please check applicable items that you are submitting. If you are not submitting any of the requested
information, please indicate not applicable and explain in the space provided why it is not necessary for this
project.
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Sketch, drawing and/or elevations showing the proposed changes or improvements.
Site plan or plat of property.
Photographs showing property, work in question, and the area of the proposed project.
Other (please list).
A list of materials that identifies the type and quality of materials to be used in the proposed
project.
Twelve sets of all information and materials for use by the Architectural Review Board members
and staff in the review of this request (REQUIRED)