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Reuben Brown House
PRESERVATION SOCIETY
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Historic Plaques
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Historic Plaque Application
Applicant's Name (First and Last)
Email
Phone
Address of Site to Receive Plaque
Street Address Line 2
City
Region/State/Province
Postal / Zip code
Year Built
Name of Architect or Builder (if known)
Architectural Style of Home or Building (if known)
Significant Architectural Changes During Life of Building
What Makes the Site Interesting?
Please Summarize the History of the Site and its Inhabitants.
Suggested Name for Historic Plaque
Select Plaque Size
Choose an option
Please List Original Owners, Subsequent Owners, and Periods of Ownership
Thanks for submitting!
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