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Historic Zoning Commission Application/Certificate of Appropriateness

  1. HZC Application Fee Certificate of Appropriateness
  2. To be completed by applicant:
  3. Is this a "contributing" structure?*
  4. Is the property or structure listed on the National Register of Historic Places?*
  5. Choose proposed action(s)*
  6. Is there an application relevant to this property and the subject of modifications or improvements pending or contemplated before the Board of Zoning Appeals, Planning Commission or City Council?*
  7. Who will represent the owner at the Historic Zoning Commission meeting?

    Note: The representative needs to be present at the meeting to answer questions and should have the authority to commit the owner to make changes suggested or required by the Historic Zoning Commission. 

  8. Information: There will be two inspections prior to completion of the Certificate of Appropriateness. One near midway of the project and one at the completion of the project. Call 615-893-6441 at lease two working days prior to each the inspection. Upon completing the project, according to the application, the owner will receive a copy of the Certificate of Appropriateness in the mail. Please complete these forms and submit them to the Planning Department by 3:00 p.m. on the submittal date indicated on the HZC yearly calendar. Approvals for Certificates of Appropriateness allow six months to begin construction. If work has not commenced with that timeframe, the approval will be expired. 

  9. Electronic Signature Agreement:
    By clicking the "I agree" box, you agree and acknowledge that (1) your application will not be signed in the sense of a traditional paper document, (2) by signing in this alternate manner, you authorize your signature to be valid and binding upon you to the same force and effect as a handwritten signature, and (3) you may still be required to provide a traditional signature at a later date.

  10. (When Applicable)

  11. For Office Use Only:
  12. Leave This Blank:

  13. This field is not part of the form submission.