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Historic Plaquing Application PDF

If you do not want to submit your Historic Plaquing Application online, then please download the Historic Plaquing Application PDF complete the form, and mail to:

McHenry County
Historical Society

6422 Main Street, P.O. Box 434
Union, IL 60180

(815) 923-2267 or
email at info@mchsonline.org

Preservation Resources

Archival supplies and
technical product advice

Gaylord –
library supplies, furniture and archival products,
800-448-6461

Light Impressions –
archival and presentation supplies,
800-828-6216

Historical Plaquing Application

General Information

* means required

Name: *

Address: *

Email Address: *

Home Phone: *

Cell Phone: *

Business Phone:

Is the applicant also the owner of the home/building/site?:

Yes

If no, please provide the following information

Owner’s name:

Owner’s address:

Owner’s home phone:

Owner’s business phone:

Current owners purchased this property in what year:

Chronology

Names of subsequent owners, past to present:

Include dates property was purchased and sold.

Please list and describe additions to original structures(s):

Include date(s) and name of architect or contractor

Do you know of any architectural and/or historical building materials that were lost or disposed of during remodeling or fires,:

Have any historic restoration measures been taken by past or present owners?:

Landscaping

Are there any known original plantings on the property?:

Yes

Describe plantings:

Are there any deliberate plantings on the property?:

(i.e., windbreaks, farming, Subsistence gardens, formal gardens, Indian trail trees, etc.)

Are there any other landscaping features? Such as:

trellises

window boxes

garden paths

statuary

Describe any other landscaping features:

Outbuildings

Any other outbuildings?:

Describe any outbuildings that were on the property, but no longer exist:

Notes of Interest

The Historic Sites Committee is interested in knowing your reasons for seeking a plaque.:

Is there any folklore associated with this structure that cannot be substantiated?:

Attachments

Please attach copies of your research, including: surveys:

txt, doc, rtf, gif, jpg, png, or pdf les than 1000kb

Attach copies Legal description research:

txt, doc, rtf, gif, jpg, png, or pdf les than 1000kb

Attach copies of chain of title:

txt, doc, rtf, gif, jpg, png, or pdf les than 1000kb

MCHS website links

Preserving Your Stuff

Historic Plaquing Application PDF

McHenry County
Historical Society

Preservation Resources

Historical Plaquing Application

MCHS website links

Preserving Your Stuff

Historic Plaquing Application PDF

McHenry County Historical Society

Preservation Resources

Historical Plaquing Application

McHenry County
Historical Society