Application Certificate of Appropriateness
Page 3 of 3
Revised January 22, 2020
Action of HARB Review Board
□ Approval Date: ___________
□ Disapproval Vote: ______ for ______ Against
□ Planning Administrative Approval Date: _____________________
Action of Borough Council
I hereby certify that a Certificate of Appropriateness was Granted □ Denied □ by the Gettysburg Borough Council
on the ____________ day of _______________________,______________.
______________________ _______________________________________________
Date Director of Historic and Environmental Preservation
Record of Events
Review Board Date
A. Received by Planning Department _______________
B. Disapproval:
□ Indication to applicant of action and recommendation _______________
□ Recommend Disapproval to Borough Council ________________
C. Approval:
□ Recommend Approval to Borough Council _______________
□ Recommend Administrative Approval _______________
Borough Council
A. Received Recommendation From HARB _______________
B. Disapproval: Letter to Applicant _______________
C. Approval: Certificate of Appropriateness _______________
Planning Department
Permit Issued Date:_________________ Issued by:______________________________________
OFFICE USE ONLY
Parcel #__________________________
Address: _________________________
LU - ______ - _______
COA -______-________
Date Received: ____ - ____ - ________
Application for Certificate of Appropriateness
Historical Architectural Review Board (HARB)
Borough of Gettysburg
DO NOT WRITE BELOW LINE. SUBMIT WITH APPLICATION.