Office of Historic Alexandria
ALEXANDRIA ARCHAEOLOGY
105 N. Union Street, #327
Alexandria, Virginia 22314
Tel: 703-838-4399
Fax: 703-838-6491Form completion required for compliance with the Archaeological Protection Code, included in Zoning Ordinance, Section 11-411(D), 1992.
Project Name:_______________________________
Date: ___________
Address:____________________________________________________
Tax Parcel Number: __________________________________________
Applicant: _____________________________Phone:_______________
Owner: _______________________________Phone: ______________
Address:___________________________________________________
Contact: ______________________________Phone: _______________
Address: ___________________________________________________Project Actions:
1. [ ] Demolition
2. [ ] New Construction
3. [ ] Addition
4. [ ] Restoration/Renovation
5. [ ] Landscaping
6. [ ] ______________________________Description of Project: (attach additional pages if necessary)
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____________________________________________________________________________Submit a map showing the exact location of your property. If available please attach the following: maps showing existing structures, proposed demolition (if any) and construction; chain of title, historic maps; previous historical or archaeological research.
This form will be signed and returned to you with our recommendations within seven days of receipt. Submit a copy of the form signed by the City Archaeologist with your preliminary site plan when you file with the City.
