City Hall, 433 River Street, Troy, New York 12180
HISTORIC DISTRICT & LANDMARKS REVIEW COMMISSION
Application for Certificate of Appropriateness
Please be sure to read the instructions and checklist on the City of Troys HRC webpage prior to submitting an
application. Incomplete applications will not be reviewed.
Owner Information:
Name: Phone Number:
Address: Email:
Contractor Information:
Name: Phone Number:
Business: Email:
Owner Signature:
(OFFICE USE ONLY) Case: ______________ Date Received: ______________________
Notes on proposed work:
Decision/Status:
Conditions:
Detailed Description of Proposed Work:
click to sign
signature
click to edit