LANDMARKS
of New York State
Historic District Survey Form
Enter the requested information, then click on "Submit the Form" to complete the process.
Note: It is not necessary to provide all the information requested, partially completed forms may be submitted. If necessary, more information may be submitted on a new form at a later date. Digital photos/scans may be submitted in jpg format by email to this address: info@nysLandmarks.com.
Send an email to snyaia150@verizon.net with any questions.
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Historic District
  • District Name
  • NRHP Approval
    		• Date:
    Location
  • County
  • Township
  • Town
    • District History
  • Dates of Buildings
    		• From To
  • Architect/Designers
  • Architectural Styles
    • Properties
  • Contributing
  • Non-Contributing
  • Significant Structures
  • Description
    Summarize from the Nomination Form into a few sentences
    • Surveyor Information
  • Name
  • Date Surveyed
  • email
  • Phone
  • Organization
    • Persons Interviewed
  • Name
  • Date of Interview
  • Address
  • email
  • Phone
  • Title (County Historian, Town Historian, etc.)
    • Name
  • Date of Interview
  • Address
  • email
  • Phone
  • Title (County Historian, Town Historian, etc.)
    • Location of Information
    Local Library
    County Library
    National Register
    		 Government Office
    Historical Society
    Private Collection
    List Any Other Sources of Information
    Describe Historic Photos/Documents that are Available
    Website Address
    Additional Comments

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