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MunicipalBuilding 1CentreStreet,9thFloorNorth NewYork,NY10007 Tel:2126697700 Fax:2126697960 www.nyc.

gov/landmarks

REQUESTFOREVALUATION
TheLandmarksPreservationCommissionisresponsibleforsafeguardingthearchitectural,historicalandculturalheritageof NewYorkCity.TheCommission'sResearchDepartmentispleasedtoacceptrequestsfromthepublicfortheevaluationofthe architectural,historicalorculturalsignificanceofpropertiesthroughoutthefiveboroughs.Ifapropertyappearstomeetthe criteriafordesignationasaLandmark,thestaffmayrecommenditforconsiderationbytheCommission.

Torequestanevaluation,pleasefilloutthisformandreturnittotheaddressbelow.Pleaseprovideasmuch informationaboutthepropertyasyoucanand,ifpossible,includeaphotograph.

ThankyouforyourinterestintheworkoftheCommission.

DATE: _______________
NAME TELEPHONE

EMAILADDRESS

AFFILIATION/REPRESENTING

ADDRESS

APT./STE./FLR.

CITY,STATE

ZIPCODE

ADDRESSANDBOROUGH

PROPERTY TOBE EVALUATED

BUILDINGNAME(IFANY)

BUILDINGTYPE(ORIGINALUSE)

ARCHITECT(IFKNOWN)

ADDITIONALINFORMATIONPLEASEINDICATEBELOWANYADDITIONALINFORMATIONYOUHAVECONCERNINGTHEPROPERTY:
HISTORY,SIGNIFICANCE,PRESENTCONDITIONS,CURRENTUSEORSTATUS,ETCETERA.

PLEASERETURNTHISFORMTOTHEADDRESSATTHETOP,ATTN:MARYBETHBETTS,DIRECTOROFRESEARCH

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