OREGON STATE HISTORIC PRESERVATION OFFICE Certified Local Government Development Grant Project Packet Cover Form SECTION I. PROPERTY & GRANT INFORMATION Street Address: City: County: Owner: SHPO Agreement Number: Grant Award Amount: SECTION II. PROJECT DESCRIPTION Please provide a description of the proposed work identifying issues being addressed and how. Attach additional pages if necessary. Be sure to include how the work will be done and discuss any original materials that will be altered, removed, or replaced. This section is intended to provide our reviewers with a and after” understanding of the project; how the building looks now versus how it “before will look once the project is complete. SECTION III. ADDITIONAL INFORMATION & ATTACHMENTS Please merge & attach items as one document and use the file name format Check the appropriate boxes “yourprojectaddress.pdf”. below to indicate what information has been included. Only the map and photographs of property are required. Photographs At least 2 photographs that provide an overview of the exterior of the property At least 2 close-ups of the part(s) of the property where the project will happen Map Please include a topographic, Google, or Bing map that clearly shows the location of the property. Additional Information (if available) Design plans Product/material information sheets Examples of similar completed projects Other Section IV. FOR SHPO COMPLETION Based on the information submitted to our office, we find that the proposed project adheres to The Secretary of the Interior's Standards for the Treatment of Historic Properties. Pending concurrence from the National Park Service regarding this finding, this project is fundable through a Certified Local Government Grant for development. Within 30 days of the signature below, please upload your Preservation Agreement to OPRD Grants Online. Work on your project cannot begin until a Preservation Agreement has been signed. SHPO Staff Signature Date
OREGON STATE HISTORIC PRESERVATION OFFICE Certified Local Government Development Grant Project Packet Cover Form SECTION I. PROPERTY & GRANT INFORMATION Street Address: City: County: Owner: SHPO Agreement Number: Grant Award Amount: SECTION II. PROJECT DESCRIPTION Please provide a description of the proposed work identifying issues being addressed and how. Attach additional pages if necessary. Be sure to include how the work will be done and discuss any original materials that will be altered, removed, or replaced. This section is intended to provide our reviewers with a “before and after” understanding of the project; how the building looks now versus how it will look once the project is complete. SECTION III. ADDITIONAL INFORMATION & ATTACHMENTS Please merge & attach items as one document and use the file name format “yourprojectaddress.pdf”. Check the appropriate boxes below to indicate what information has been included. Only the map and photographs of property are required. Photographs At least 2 photographs that provide an overview of the exterior of the property At least 2 close-ups of the part(s) of the property where the project will happen Map Please include a topographic, Google, or Bing map that clearly shows the location of the property. Additional Information (if available) Design plans Product/material information sheets Examples of similar completed projects Other Section IV. FOR SHPO COMPLETION Based on the information submitted to our office, we find that the proposed project adheres to The Secretary of the Interior's Standards for the Treatment of Historic Properties. Pending concurrence from the National Park Service regarding this finding, this project is fundable through a Certified Local Government Grant for development. Within 30 days of the signature below, please upload your Preservation Agreement to OPRD Grants Online. Work on your project cannot begin until a Preservation Agreement has been signed. SHPO Staff Signature Date
CLGDevelopmentProjectCoversheet.docx