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2. CITY OF CORTEZ HISTORIC SIGN NOMINATION FORM

   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.

6. Per Section 5.06 (c)(4)a. of the Cortez Land Use Code, only nine (9) signs within the Central Business District shall be designated as historical signs.

   **If you are submitting a nomination for a sign to be designated as historic in the Central Business District you will need to include three (3) letters of support from business or property owners within the Central Business District.**

8. Access PDF Version of the Application Here
   Download PDF Application Here

   You may also complete the online application below in place of the PDF application. You do not need to complete both.

   E-mail digital PDF (or postal mail/deliver in person) completed form with signature and attachments.

   City of Cortez Community & Economic Development
   Attn: Historic Preservation Board
   123 Roger Smith Ave
   Cortez, CO 81321

   Email completed applications to: hwest@cortezco.gov

12. Name of Applicant
13. Applicant Email:*
15. Date of Application*
    Date of Application
17. Name of Business:*
19. Business Address:*
21. City
22. State
23. Zip
25. Business Phone Number:
27. Describe the sign you are proposing to be designated as historical:
29. In your own words, please describe:
31. a) the period of time which the sign has been in use:
33. b) the unique characteristics of the sign which contribute to the local area:
35. c) the history, upkeep and repair of the sign:
37. d) the historic value of the sign:
39. e) other factors you think are important in making a determination:
41. Letters of Support

    ATTACH three (3) letters of support from business or property owners within the Central Business District. Please include information in the letters regarding the five (a. - e.) items above. Please feel free to attach an extra page if more space is needed to answer the questions.

43. Attachments
44. Attachments
45. Attachments
49. SIGNATURES
51. Please Select Who is Signing This Form:*

    1. Property Owner(s)
    2. Business Owner(s)
53. First Name*
54. Last Name*
56. First Name
57. Last Name
59. 
Leave This Blank:


61. 1. Receive an email copy of this form.
62. Email address

    This field is not part of the form submission.

63. Submit

* indicates a required field