Ripon Historic Preservation Commission Grant Program Application Form

Today's Date *

Application Information

Name *

Address *

Phone Number *

Email Address

Property Information

Property Address *

Property Owner (if different from applicant)

**Please submit written permission from the property owner if different from applicant.**

Project Description *

Budget

Total Project Cost *

Amount Requested *

Timeline

Estimated Start Date *

Estimated Completion Date *

Supporting Documents

Please attach relevant documents (project estimates, budget, photographs, historical documentation, permits, etc.)

File upload is limited to 20 MB pdf, doc, docx, xls, xlsx, ppt, pptx, odt, ods, odp, txt, jpg, png.

Additional documents

File upload is limited to 20 MB pdf, doc, docx, xls, xlsx, ppt, pptx, odt, ods, odp, txt, jpg, png.

**By submitting, you as the requester, are certifying that the information provided in this application is accurate and that I have read and agree to the terms and conditions of the RHPC Grant Program.

* - denotes required field