Form Center

2. Designation Type*

   1. Office
   2. Retail
   3. Commercial
3. Proposed Action(s)*

   1. Signage and/or Graphics
   2. Paint
   3. Awning Change
   4. Facade Change

   1. New Construction
   2. Demolition
   3. Other
4. If other, please explain
6. Will you be applying for federal rehabilitation tax credits for rehabilitation of this property?

   1. Yes

   1. No
8. Address of Proposed Work*
10. Applicant/Authorized Representative*
    If the applicant is not the owner, they must be authorized by the owner to commit to changes proposed by the Commission.
12. Mailing Address*
14. Phone Number*
15. Email Address
17. Owner Name (if different than applicant)
19. Mailing Address
21. Phone Number
22. Email Address
24. Project Description- Give a detailed description and justification for each repair, alteration, new construction or demolition planned. Include a description and condition of affected existing materials. Work not listed here will not be reviewed. *
26. Additional details: photos, site plans, etc
28. If applicable

    1. I authorize my representative to speak for me in matters regarding this application. Any agreement made by my representative regarding this proposal will be binding upon me.
30. Certification/Authorization
    I hereby certify all statements contained within this application, attached documents and transmitted exhibits are true to the best of my knowledge and belief. In the event this proposal is approved and begun, I agree to complete the changes in accordance with the approved plans and to follow all City of Okmulgee regulations for such construction. I understand no changes to approved plans are permitted without prior approval from the Historic Preservation Commission.
32. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
34. Authorized Representative's Electronic Signature
Leave This Blank:


36. 1. Receive an email copy of this form.
37. Email address

    This field is not part of the form submission.

38. Submit Submit and Print

* indicates a required field