Fillable HISTORIC DESIGNATION REPORT/ BUILDINGS, SITES, STRUCTURES TOWN OF (Town of Fort Myers Beach)

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HISTORIC DESIGNATION REPORT/ BUILDINGS, SITES, STRUCTURES TOWN OF (Town of Fort Myers Beach)

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HISTORIC DESIGNATION REPORT/ BUILDINGS, SITES, STRUCTURES
TOWN OF FORT MYERS BEACH, FLORIDA
Pursuant to LDC Sec. 22-202, this designation report shall be filed with the historic preservation board prior
to the designation of any historic resource in the Town of Fort Myers Beach.
Site Address: ________________________________________________________________, Fort Myers Beach, FL 33931
Parcel Strap Number: ________________________________________________________
a. DESCRIPTION OF BUILDING/STRUCTURE/SITE AND CHARACTER-DEFINING FEATURES (attach photo):
____________________________________________________________________________________________________________
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b. STATEMENT OF HISTORICAL, CUTURAL, ARCHITECTURAL, ARCHEOLOGICAL OR OTHER SIGNIFICANE:
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ATTACH PHOTOGRAPH HERE
c. EXISTING CONDITION AND POTENTIAL THREATS:
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d. STATEMENT OF REHABILITATIVE OR ADAPTIVE PROPOSALS:
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e. DESIGNATE LOCATION ON MAP. INDICATE ZONING DISTRICT, LAND USE CATEGORY & HISTORICE DISTRICT:
ZONING DISTRICT: ________________________________________________________________________________________
FUTURE LAND USE CATEGORY (FLUM): ___________________________________________________________________
HISTORIC DISTRICT: ______________________________________________________________________________________
f. DIRECTOR’S RECOMMENDATION OF ELIGIBILITY FOR HISTORIC DESIGNATION: I recommend that this
building/site/structure is ( ) eligible/ ( ) not eligible for historic designation pursuant to LDC Chapter
22.
The following features require specific historic preservation treatments:
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SIGNATURE: ________________________________________________________________ DATE: _____________________
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HISTORIC DESIGNATION REPORT BUILDINGS, SITES, STRUCTURES TOWN OF (Town of Fort Myers Beach)

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Completed 3 August 2020

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