You must have JavaScript enabled to use this form. Contact Name Contact Phone Number About the Project Address of Property Address Address 2 City/Town State/Province - None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP/Postal Code Map/Parcel Number Value of Work for Rehabilitation This number must match your building permit, not include new construction, and must be at least $200,000. Project Information Check all of the following that apply to this property. It is located in a redevelopment zone. It is located on a transit corridor. The end project will preserve or increase affordable housing or housing for persons with special needs. The end project will revitalize distressed or underserved areas. Explanation of Endangerment In 500 words or less, provide an explanation as to how the property is endangered and is in need of economic assistance. Explanation of Preferences In 500 words or less, explain how the project will preserve or increase affordable housing or housing for persons with special needs or how the project will revitalize distressed or underserved areas, if applicable to your project. Attachments Attachments may also be sent directly to [email protected]. Copy of Historic Overlay Rezoning Application If the property is not already in a historic overlay, the applicant should file for the designation, prior to submittal of this application. File for Historic Overlay DesignationOne file only.10 MB limit.Allowed types: pdf, doc, docx. Preservation Permit Complete Preservation Permit application for proposed rehab work with a separate application for any associated new construction. The rehab permit application shall be for all exterior changes and any interior changes that have the potential to change the exterior or that have the potential to jeopardize the structural health of the building.One file only.10 MB limit.Allowed types: pdf, doc, docx. Additional Information Include any additional information that helps to explain your project. Note to Applicant: If approved you must be willing to sign an affidavit stating that you understand the parameters and limitations of the program. Leave this field blank