Fresno County Historical Landmarks & Records Advisory Commission
Historic Places Application
IDENTIFICATION
1. Common name: ______________________________________________________________
2. Historic name:_____________________________________________________________
3. Street or rural address: __________________________________________________
City________________________ Zip _____________ County ___________________
4. Parcel Number:_____________________________________________________________
5. Present Owner:_____________________________________________________________
City___________________ Zip__________ Ownership is: ___Public ___Private
6. Present Use_________________________________________________________________
Original Use________________________________________________________________
DESCRIPTION
7a. Architectural style: ______________________________________________________
The architectural style should be identified from a list of accepted
style
identifications from the following list.
Adobe
Arts & Crafts Art Deco
Austrian Succession
Baroque Beaux
Arts Byzantine
Cape Cod
Chateauesque Classical
Revival Colonial
Craftsman
Dutch Colonial Eastlake
Egyptian English
Tudor
Four-Square French Tudor
Georgian Gothic
Half-Timber International Islamic
Log Cabin
Mediterranean Mission
Monterey Normandy
Prairie Pueblo
Ranch
Richardsonian
Romanesque Second Empire Spanish
Colonial Stick
Swiss Chalet Victorian
7b. Briefly describe the present physical description of the
site or structure and describe any major alternations from its original
condition. Descriptions should include such characterizing details
as exterior material, roof shape and material, number of rooms, interior
materials, fireplaces, and other parts which may represent a specific style.
Include additional elements of the site such as detached garage, barn,
tankhouse, outhouse, corral, entrance gate, pond, canal, storage shed,
kiln, packing shed, gardens, arbors, landmark trees, and others.
8. Construction date: Estimated _______ Factual ______
9. Architect _________________________________________________________________
10. Builder _________________________________________________________________
11. Approximate property size (feet) ____Frontage _____Depth of approx. acreage
12. Condition: __Excellent __Good __Fair __Deteriorated __No longer in existence
13. Alterations:_______________________________________________________________
14. Please enclose a photograph, black & white if possible.
Date(s) of enclosed photograph(s):
15. Locational sketch map. (Draw and label size and
surrounding streets, roads,
and prominent landmarks.)
__________________________________North____________________________________
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South
16. Surroundings: (check more than one if necessary)
__Open land __Scattered buildings __Densely built-up
__Residential __Industrial
__Commercial
Other:______________________________
17. Threats to site: __None known __Private development
__Zoning
__Vandalism __Public works project
Other:________________________________________
18. Is the structure: On its original site?______ Moved?______ Unknown?________
19. Related Features:__________________________________________________________
SIGNIFICANCE
20. Briefly state historical and/or architectural importance
(include dates,
events, and persons associated with the
site.)
21. Main theme of the historic resource: (If more than
one is checked,
number in order of importance.)
___Architecture
___Arts & Leisure ___Economic /Industrial
___Exploration/Settlement
___Government ___Military
___Social/Education
___Religion
22. Sources (List books, documents, surveys, personal interviews
and their dates).
23. Date form prepared: _______________________
By: (name)_______________________________________________________________
Organization:____________________________________________________________
Address:_________________________________________________________________
City:____________________________________________ Zip___________________
Telephone: _________________________ Fax:__________________
E-mail: ____________________________
24. Signature of owner Date:
____________________________________
______________________
Please forward completed application to:
Laurel Prysiazny, Secretary of HLRAC
Historical Landmarks & Records Advisory Commission
Fresno County Library
2420 Mariposa Street
Fresno, CA 93721