HeritageSubmission - Community Asset Standing Tall

Name*

First Last

Phone*

Email*

Enter Email Confirm Email

District Choices*

Please choose the district in which your chosen asset resides.

Please describe your chosen asset.*

e.g. Domestic/Agricultrual/Commercial/Educational/Industrial/Transport/Place of Worship/Street Furniture/Park or Garden

Address of your chosen asset if it is a building

Street Address Address Line 2 City County / State / Region ZIP / Postal Code

Geo Co-Ordinates

Eg: 53.702594 -2.201280

Approximate Age of the Asset.

Please select one of the choices

Do you know who the owner is?

Yes
No

If yes please provide name and contact details.

Does it have notable level of architectural or artistic interest?

Yes
No

If yes please explain

Does the asset have any historic importance?

Yes
No

If yes please explain

Does it have any historic association with the community or cultural group in the local area?

Yes
No

If yes please explain

Does the asset have any evidence of past human activity?

Yes
No

e.g. Historic Quarry Workings/Archeological Remains

If yes please explain

Please attach two photographs of your chosen asset

Drop files here or

GDPR*

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Email
Direct Mail
Automated Communication

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Heritage Asset Listing Submission Form