Project Category (check one) *

Preservation: Sustain the existing form, integrity, & materials of a historic property

Rehabilitation: Repair, alterations, & additions while preserving primary character-defining features

Restoration: Removal of non-period features & reconstruction of missing features from a specific era

Reconstruction: New construction of features to replicate a specific period

Original Construction Date of Property *

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DD

YYYY

Project Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of Project Substantial Completion *

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DD

YYYY

Is the property listed? *

National

State

Local

Not Listed

Date *

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YYYY