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CITY OF CORTEZ HISTORIC DESIGNATION OF A STRUCTURE, SITE OR DISTRICT APPLICATION
City of Cortez
City Hall
123 Roger Smith Ave.
Cortez, CO 81321
(970)565-3402
PLEASE NOTE: Before submitting this application, contact City of Cortez Historic Preservation Board (CCHPB) about the status of your property’s historical survey. If the property has previously been surveyed, CCHPB will provide you with a copy of your historical site form and evaluation to be attached to this application prior to submittal. Contact CCHPB at City Hall, the Planning and Building Department, (970) 565-3402.
Access PDF Version of the Application Here
Download PDF Application Here
E-mail digital PDF (or postal mail/deliver in person) completed form with signature and attachments.
City of Cortez Planning & Building
Attn: Historic Preservation Board
123 Roger Smith Ave
Cortez, CO 81321
Email completed applications to: hwest@cortezco.gov
Historic Designation Critera
Designation Criteria
To assist you in completing the application for a historic property, please be aware of the criteria as noted in the City of Cortez Land Use Code. This PDF goes over the designation criteria for properties to be considered historic.
Address or Location of Property*
Historic Name of Property (if applicable)
Owner(s) of Property Site/Object*
NOTE: The owner(s) of the nominated properties must consent to nominate the property per City of Cortez Land Use Code Section 6.19(d)(4). If there are multiple owners, list the principal owner first for contact purposes. List all owners of interests in the property and use the exact names(s) as it appears on the Title Certificate that is recorded in Montezuma County.
Date of Application*
Date of Application
Owner Address*
City*
State*
Zip*
Phone*
Email*
Applicant's Representative Phone (if applicable)
Email
Structure(s) on Property being nominated:
NOTE: List all that are applicable: i.e., house, barn, garage, commercial building, church. Exclude structures not part of the nominated structure but are now located on the property (site).
DESCRIPTION OF PROPERTY (SITE)
LEGAL: Lot, Block & Subdivision
(If applicable, attach a separate sheet with a metes and bounds description)
Lot
Block
Subdivision
USE OF PROPERTY (SITE)
Historic Use
Current Use*
Year of Construction*
Year(s) of Any Exterior Remodeling (if known):
Continue

ATTACHMENTS

PLEASE ATTACH THE FOLLOWING:
Each document and/or page should be titled with the name or address of the property. You may upload each item separately or as a larger file.
- A copy of document(s) proving ownership of the property and state the legal description of location and boundaries.
- A statement describing the history of the structure (i.e. year built, and any renovations over time, etc.).
  - Attach a description and photo of the current appearance of the property and boundaries of the historic structure.
  - Attach a description and photo (if available) of the original appearance of the property and boundaries of the historic structure or site.
- A description of the characteristics of the structure which justify its designation and a description of the particular features that should be preserved.
- A description of the structure’s historical significance in regards to the criteria listed below (architectural, cultural, geographic/environmental, prehistoric or historic structures or sites).
- Three letters of support or copy of a letter demonstrating eligibility as the result of a Certified Local Government Inventory.
- Copies of the State Site Forms (Please be aware that you will be required to obtain a Site Number from the History Colorado State Historic Preservation Office in Denver).
File upload
Please upload the drawing or photographic mockup of the proposed sign here. If you are unable to do so, please bring a physical copy of these items to City Hall.
File upload
Please upload the outline of the building facade and site plan here. If you are unable to do so, please bring a physical copy of these items to City Hall.
File upload
File upload
File Upload
File upload
AUTHORIZING SIGNATURES
Certification:
I/We hereby certify that the information on this application and attachments is correct and that the property affected by this application is in the exclusive ownership or control of the applicant, or that the applicant has the consent of all partners in ownership of the affected property. An authorization letter from the property owner has been attached in the event that the owner’s signature has not been provided below.
I/We agree that, before making any alterations to the exterior of a structure, resource, or property designated in the Cortez Register of Historic Sites, Structures and Districts, the applicant proposing the alterations shall submit plans describing the modifications to the Cortez Historic Preservation Board for review and recommendation, as set out in Sec. 8.02.04 of the City Land Use Code, Historic Preservation Board.
I/We also agree to comply with all Cortez ordinances, codes, rules and regulations including but not limited to 6.19 (9.04.06) Cortez Land Use Code regarding application for, designation as, alteration of, and all other review processes now in effect or as may be amended or created from time to time.
Please Check Box to Acknowledge the Previous Statement*
1. hwest@cortezco.gov
SIGNATURES
Please Select Who is Signing This Form*
1. Property Owner(s)
2. Applicant(s) or Authorized Agent
First Name*
Last Name*
First Name
Last Name

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Email address

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Historic Property Nomination Form & Consent Form

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Step One

ATTACHMENTS

PLEASE ATTACH THE FOLLOWING: