2013 Most Endangered Historic Resources NOMINATION FORM

1. 233 West Main Street Yarmouth, ME 04096 (207) 847-3577 www.mainepreservation.org 2013 Most Endangered Historic Resources NOMINATION FORM Please fill out the information below and respond to the questions listed at right on additional page(s) in paragraph form. Submit your nomination, attached photos, and/or supporting materials electronically to robert@mainepreservation.org NAME OF PROPERTY: __________________________________ PHYSICAL ADDRESS: ___________________________________ ___________________________________________________ OWNER OF PROPERTY: _________________________________ OWNER’S ADDRESS: ___________________________________ ____________________________________________________ OWNER’S PHONE(S): _____________E-MAIL:_______________ CURRENT USE: _______________________________________ NOMINATOR (nominator’s name will be kept anonymous): ____________________________________________________ Affiliate Organization (if applicable):_______________________ ADDRESS: ___________________________________________ ____________________________________________________ PHONE(S): ______________ E-MAIL:_____________________ CURRENT DESIGNATION STATUS OF PROPERTY (if applicable): ( ) National Register of Historic Places (date listed:_________) ( ) Local Designation (Please Specify): ____________________________________________________ ( ) Other Designations (Please list) ____________________________________________________ CONTACT PERSON FOR NOMINATED BUILDING OR SITE (if different from above nominator): NAME: ____________________________________________ ADDRESS: __________________________________________ ___________________________________________________ PHONE(S): _________________E-MAIL: ___________________ 1. Introduction of the history and early highlights of property; include date of construction and original architect and builder, if known. 2. Describe the challenge or threat that the property or resource is facing, including any known timetable and urgency. 3. Include a summary of the measures taken to date to meet the challenge or address the threat. [Use additional paragraph(s) for complex issues.] 4. Describe demonstrated or available support from local individuals, organizations or government: 5. Describe how Maine Preservation could specifically assist in the rescue of this endangered property. 6. Summary: please state in a sentence why this project is worthy to be listed as Most Endangered. 7. Photographs (digital only) in JPEG or TIFF format. Please include images of each elevation, interior (if applicable), and context/setting. SUPPORTING MATERIALS are encouraged – news articles, brochures, studies, etc. Maine Preservation is seeking statewide nominations of historic properties for inclusion on the 16thannual list of Maine’s Most Endangered Historic Resources. Nominators should explain why their historic property is endangered and its likelihood of preservation based upon community engagement and interest. The nomination deadline is July 19, 2013. The Maine Preservation Board of Trustees reviews nominations for the final selection, with input from the Maine Historic Preservation Commission. The 2013 list will be announced in August. Questions? Call Maine Preservation at (207) 847-3577, or email Robert at robert@mainepreservation.org