S:\Planning\Planning Division\Planning Div Forms\Applications\Staff - Tax Eligibility.docx Rev. 2/2020
TAX ELIGIBILITY
HISTORIC PRESERVATION OFFICER
409/797-3660
planningcounter@galvestonTX.gov
Planning and Development Division
3015 Market, Galveston, TX 77550
www.galvestonTX.gov
I. PROPERTY INFORMATION
___________________________________ _______________________________________________
Street Address/Location, or Legal Description (Lot Number, Block Number, Subdivision)
Latest value of property as assessed by the Galveston Central Appraisal District:
Year ________ Land Value ________ Improvements ________ Total ________
II. APPLICANT INFORMATION
Property Owner Name Telephone
Mailing Address E-mail Address
Applicant/Representative Name Telephone
Mailing Address E-mail Address
III. ACKNOWLEDGEMENTS
I certify that [ ] I am the legal owner on record, or [ ] I have secured the property owner’s permission and
have full authority to make this application, and that the above information is correct and complete to the best
of my knowledge and ability.
Please read and initial below:
_____ I understand that all documents submitted with this application are subject to open records requests in
accordance with the Open Records Act / Texas Public Information Act.
_____ I understand that receipt of an application does not constitute application completeness and that staff will
review the application and return incomplete applications.
_____ I understand that if I am not present or represented at the public hearing, the Landmark Commission may
defer or disapprove/deny the application.
_____ I understand that, in considering my application, the Landmark Commission will determine whether the
proposed work complies with the City of Galveston’s Financial Incentives for Historic Properties program.
______________________________________________________ ____________________________
Printed Name and Signature of Applicant Date
______________________________________________________ ____________________________
Printed Name and Signature of Property Owner Date
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signature
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S:\Planning\Planning Division\Planning Div Forms\Applications\Staff - Tax Eligibility.docx Rev. 2/2020
IV. APPLICANT CHECKLIST
All documents should be provided in 8.5” x 11”, or please fold to appropriate size if larger. All drawings must be to scale.
Please provide electronic copies, if available. Other pertinent information to support said request should also be attached.
[ ] Pre-Application Meeting with City Staff (Staff initial here if waived: _____)
[ ] Narrative of proposed work
[ ] Statement of expected costs of improvements
[ ] The projected time schedule for completion
RESULT OF ELIGIBILITY DETERMINATION STAFF USE ONLY
___________ The proposal meets the requirements for eligibility for the Substantial Rehabilitation for Historic
Properties Program. Please note, when the work is complete an application for Tax Verification must
be submitted for review by the Landmark Commission and City Council.
___________ The proposal does NOT meet the requirements for eligibility for the Substantial Rehabilitation for
Historic Properties Program.
______________________________________________________ ____________________________
Historic Preservation Officer Date