Los Altos, CA · Santa Clara County
Historic Resource Determination Form
Applicants for housing development projects complete this form to identify historic resources at the project site for the City’s determination.
What this form is
The City requires this form as part of an application for a housing development project. Applicants check which listed historic-resource categories apply to the site and sign a declaration about their investigation and the accuracy of their answers. For a Category 6 resource not also in Categories 1 through 5, the form describes additional professional-completed DPR forms.
Who needs it
Applicants submitting a housing development project application in Los Altos must complete this form as part of that application.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This form is signed and dated without a notary; the applicant declares under penalty of perjury, and a Category 6 resource may require professional-completed DPR Forms 523A and 523B.
How to submit this form
- 1
Download the Form
Download the Historic Resource Determination Form PDF.
- 2
Complete the Form
Check all historic-resource categories that apply to the site and complete the applicant statement.
- 3
Gather Additional Forms
For a Category 6 resource not also in Categories 1 through 5, submit DPR Forms 523A and 523B completed by a qualified professional.
- 4
Submit to the City
Submit the form as part of the housing development project application; check the city website for current contact details.
Frequently asked questions
- Do I need a notary for the Historic Resource Determination Form?
- No. The form is signed and dated without a notary, but the applicant declares under penalty of perjury. A Category 6 resource may require professional-completed DPR Forms 523A and 523B.
- Who completes this form?
- Applicants for a housing development project complete it as part of their project application.
- What information does the form ask for?
- Applicants check which of six listed historic-resource categories apply to the site and sign a declaration about their investigation and the accuracy of the information.
- How do I submit the Historic Resource Determination Form?
- The document does not provide submission instructions. Submit it to the city department named on the form; check the city website for current contact details.