APPLICATION FOR “FULTON HISTORIC PROPERTY”
Address of Property:
Names & Addresses of all Owners of Property:
Preparer’s Name & Address:
To qualify for identification as an historic property, each property described in the application must meet at least one of
the following criteria (a through j) as cited in The Code of The City of Fulton, Chapter 62, Article II, Section 62. Please
circle all that apply and supply a brief explanation. Be sure to include all structures on the property that meet at least
one of the criteria. Also, list the sources of information (books, deeds, letters, surveys, maps, newspapers, historical
society, etc…) from which you obtained your information.
a) Its value as part of the heritage or culture of the community:
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b) Its location as a site of a significant event:
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c) Its identification with a person or persons who made a significant contribution to the development of the
community, state or nation:
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d) Its distinguishing characteristics of an architectural style or method of construction (see style sheet on page 5):
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e) Its identification as the work of a master builder, designer, architect or landscape architect whose work has
influenced the development of the community, state or nation:
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f)
Its elements of design, detailing, materials or craftsmanship which renders it architecturally significant:
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g) Its design elements that make it structurally innovative:
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h) Its unique location or physical characteristic that makes it a familiar visual feature of the neighborhood or the
community:
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i)
Its character a s a particularly fine or unique example of a utilitarian structure with a high level of integrity or
architectural significance:
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j)
Its suitability for preservation or restoration:
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If known, cite the historic name of the property: (i.e. “Emil Tucker House,” “Jones Realty Building,” etc…)
If known, cite the historic use(s) of the property: (i.e. “Residential/Single Family,” “Residential/Multi-Family,”
“Business/Grocery Store,” etc…)
Describe any interesting facts or stories about the property:
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If known, cite the date the structure(s) on the property was built:
If known, circle the style category of the historic property:
CATEGORY
No Style or Not Known
Mid-19th Century
SUB-CATEGORY
OTHER STYLISTIC TERMS
Greek Revival
Gothic Revival
Early Romanesque Revival
Early Gothic Revival
Victorian or High Victorian Eclectic
High Victorian Gothic
Second Gothic Revival
Victorian, High Victorian Italianate
Mansard
Queen Anne Revival, Queen AnneEastlake
Eastern Stick, High Victorian Eastlake
Romanesque Revival, Richardsonian
Romanesque
Renaissance Revival, Italian
Renaissance
Beaux Arts Classicism
Georgian Revival
Neo-Classical Revival
Jacobian or Jacobian Revival,
Elizabethan Revival
Collegiate Gothic
Spanish Revival, Mediterranean
Revival
Late Victorian
Gothic
Italianate
Second Empire
Queen Anne
Stick/Eastlake
Shingle Style Romanesque
Renaissance
Late 19th & 20th Century Revivals
Beaux Arts
Colonial Revival
Classical Revival
Tudor Revival
Late Gothic Revival
Mission/Spanish
Late 19th & Early 20th Century
Movements
Modern Movement
Colonial Revival
Italian Renaissance
French Renaissance
Prairie School
Commercial Style
Chicago
Bungalow/Craftsman
Moderne
International Style
Art Deco
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Western Stick, Bungaloid New
Formalism, New-Expressionism,
Brutalism, California Style or Ranch
Style, Post-Modern, Wrightian
Modernistic, Streamlined Moderne,
Art Moderne
Miesian
Describe and date any additions or significant external alterations made to the structure:
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List the current construction materials of the following outside features:
Foundation: ________________________________________________________________________________________
Exterior Walls: ______________________________________________________________________________________
Porch: ____________________________________________________________________________________________
Steps: _____________________________________________________________________________________________
Roof: _____________________________________________________________________________________________
FORM SUBMISSION
1. Attach photographs (3 x 5 or larger) of the front, rear and sides of each structure.
2. Return this completed application to the City Clerk’s Office, City of Fulton, P. O. Box 130, Fulton, MO 65251.
3. If you need any help completing the application, please contact the Fulton Historic Preservation Commission,
c/o the City Clerk at (573) 592-3111.
ATTEST
By submitting this application, I/We do hereby certify that the information contained in this document is accurate and
correct to the best of My/Our knowledge.
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Preparer
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Date
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Owner
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Date
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