Application For A Certificate Of Appropriateness Form - New Hope, Bucks County, Pennsylvania
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2HISTORIC ARCHITECTURAL REVIEW BOARD
Borough of New Hope, Bucks County, Pennsylvania
Application for a Certificate of Appropriateness
123 New Street
New Hope, PA 18938
215-862-3347
Type of Application: ___ Concept Review
___ Administrative Review
___ Formal Review
(No documents or plans are required for a Concept Review)
Please Type or Print Clearly and Submit Ten (10) Business Days Prior to the Monthly HARB Meeting
1.
Owner’s Name: ____________________________________________________________________________
Street Address: ____________________________________________________________________________
Mailing Address (if different): ________________________________________________________________
City: _________________________
State: _______________
ZIP: _______________
Telephone: ______________________________
Email Address: ____________________________
2.
Applicant’s Name (if other than owner)
Street Address: ____________________________________________________________________________
Mailing Address (if different): ________________________________________________________________
City: _________________________
State: _______________
ZIP: _______________
Telephone: ______________________________
Email Address: ____________________________
3.
Street Address of Property to be Reviewed: _________________________________________
Tax Map Parcel Number: 27-__________________
4.
Tenant(s): ___________________________________________________________________
Street Address: ____________________________________________________________________________
Mailing Address (if different): ________________________________________________________________
City: _________________________
State: _______________
ZIP: _______________
Telephone: ______________________________
Email Address: ____________________________
5.
Contractor’s Name: _________________________________________________________________________
Street Address: ____________________________________________________________________________
Mailing Address (if different): ________________________________________________________________
City: _________________________
State: _______________
ZIP: _______________
Telephone: ______________________________
Email Address: ____________________________
6.
Architect/Engineer: _________________________________________________________________________
Street Address: ____________________________________________________________________________
Mailing Address (if different): ________________________________________________________________
City: _________________________
State: _______________
ZIP: _______________
Telephone: ______________________________
Email Address: ____________________________
7.
Use & Type of Property (Check All That Apply):
___ Single Family Residence
___ Single, detached
___ Multi-family Residence
___ Duplex
___ Office
___ Townhouse
___ Commercial/Retail
___ Apartment Building
___ Industrial
___ Warehouse
___ Institutional
___ Other: ______________________
___ Vacant
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