Historic Landmark Application

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HISTORIC LANDMARK NOMINATION FORM

COMMUNITY DEVELOPMENT DEPARTMENT
Planning Division
8310 Allison Avenue, La Mesa, CA 91941
619.667.1177

1. NAME

2. LOCATION

3. CLASSIFICATION





4. Owner of Property

5. LOCATION OF LEGAL DESCRIPTION

6. REPRESENTATION IN EXISTING SURVEYS

7. DESCRIPTION




8. SIGNIFICANCE






11. FORM PREPARED BY