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new ?ork, n? 10007
1el: 2126697700
lax: 2126697960
www.nyc.gov/landmarks
uA1L: _______________
1he Landmarks reservaLlon Commlsslon ls responslble for safeguardlng Lhe archlLecLural, hlsLorlcal and culLural herlLage of
new ?ork ClLy. 1he Commlsslon's 8esearch ueparLmenL ls pleased Lo accepL requesLs from Lhe publlc for Lhe evaluaLlon of Lhe
archlLecLural, hlsLorlcal or culLural slgnlflcance of properLles LhroughouL Lhe flve boroughs. lf a properLy appears Lo meeL Lhe
crlLerla for deslgnaLlon as a Landmark, Lhe sLaff may recommend lL for conslderaLlon by Lhe Commlsslon.

1o requesL an evaluaLlon, please flll ouL Lhls form and reLurn lL Lo Lhe address below. lease provlde as much
lnformaLlon abouL Lhe properLy as you can and, lf posslble, lnclude a phoLograph.

1hank you for your lnLeresL ln Lhe work of Lhe Commlsslon.
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