Do I need a notary for the Historic Nomination Application?

No. The form has signature and date lines but no notary block; the owner and applicant make declarations under penalty of perjury.

Who can file an individual property nomination?

A property owner can file, or an applicant may file with written authority from the property owner.

What information and supporting materials does the application request?

It requests property and contact information, the basis for nomination, and supporting documents such as photos where applicable.

How do I submit the Historic Nomination Application?

The form lists the Community Development Department, Planning Division, at 401 Grove Street and planning@healdsburg.gov, but does not specify a submission method.

Healdsburg, CA · Sonoma County

No notary required

Historic Nomination Application – Individual Property

Property owners or authorized applicants use this application to nominate an individual property in Healdsburg for historic designation.

What this form is

This application requests historic designation for an individual property and explains the criteria the nomination must meet. It asks for the property address, parcel number, applicant and owner contact information, and the basis for nomination, with supporting documents where applicable. The owner and applicant provide acknowledgements and signatures, and the applicant signs an indemnification agreement.

Who needs it

A property owner or an applicant with written owner authority who wants to nominate an individual property for historic designation needs this application.

How to submit it

The form lists the Community Development Department, Planning Division, at 401 Grove Street, Healdsburg, CA 95448-4723, and [email protected]. It does not specify a submission method.

About notarization

This document is signed without a notary; the owner and applicant make declarations under penalty of perjury, and the required signatures are dated.

How to submit this form

1
Download The Application
Download the Historic Nomination Application for an individual property.
2
Complete The Application
Provide the property, owner, and applicant details, then identify the basis for nomination.
3
Gather Supporting Documents
Attach supporting documents, including photos, as applicable to the nomination basis.
4
Sign And Date
Have the property owner and applicant complete the applicable acknowledgements and signatures.
5
Contact The Planning Division
The form lists the Planning Division address and email; it does not specify how to submit the application.

Frequently asked questions

Do I need a notary for the Historic Nomination Application?: No. The form has signature and date lines but no notary block; the owner and applicant make declarations under penalty of perjury.
Who can file an individual property nomination?: A property owner can file, or an applicant may file with written authority from the property owner.
What information and supporting materials does the application request?: It requests property and contact information, the basis for nomination, and supporting documents such as photos where applicable.
How do I submit the Historic Nomination Application?: The form lists the Community Development Department, Planning Division, at 401 Grove Street and [email protected], but does not specify a submission method.

Need something notarized?

This Historic Nomination Application – Individual Property doesn’t need a notary — but if you have another Healdsburg form that does, a commissioned online notary can help.