County of Los Angeles
Mills Act Program
Request for Exemption from Disqualification on Eligibility for Historical Property Contract
Pursuant to County Code § 22.52.2740, the Board of Supervisors adopted “Cost Control Provisions” that
limit eligibility for a historical property contract. For 2014, eligibility for historical property contracts is
limited to the following:
Maximum Assessed Valuation (including improvements and land):
•
Single-family Residence - $1,000,000 or less
•
Two-family Residence - $1,500,000 or less
Pursuant to County Code § 22.52.2780, the Board of Supervisors may grant an exemption from
disqualification if it finds that “the subject property is deserving of an historical property contract due to its
exceptional nature, or because it is subject to special circumstances not generally applicable to other
qualified historical properties.”
1. Name: ___________________________________________________________________________
2. Address: _________________________________________________________________________
3. Address of Property: ________________________________________________________________
4. Landmark or Historic District Name:____________________________________________________
5. Taxed Assessed Valuation
: $ ______________________________
(attach copy of more recent tax bill)
6. Exemption Criterion:
Granting the exemption is warranted because the subject property is deserving of an
historical property contract due to its exceptional nature, or because it is subject to special circumstances not
. A narrative statement and supporting
generally applicable to other qualified historical properties
documentation is attached, where applicable.
I, ______________________________, owner of the structure reverenced above apply for exemption from
disqualification contained in the Mills Act program cost control provisions. I certify, under penalty of
perjury, that the information attached and provided above is accurate. Executed this _______day of
______________________,2014, at ___________________________California.
_________________________________
_____________________________________________
Owner’s Name
Owner’s Signature