Circleville, OH · Pickaway County
Certificate of Appropriateness Application
Property owners or applicants use this application to request Historic Review Board approval for changes to a landmark or property in a Historic Overlay District.
What this form is
This application requests a Certificate of Appropriateness for an environmental change to a landmark or property in a Historic Overlay District. It asks for applicant and property details, the type of change requested, and a description of the proposed work; a scaled site plan is required. The document states that approval is required before covered changes and that a zoning permit must be applied for after approval.
Who needs it
Applicants proposing an environmental change to a landmark or property in Circleville’s Historic Overlay District need to submit this application.
How to submit it
Submit three copies and one PDF electronic copy to the City of Circleville Department of Public Service, City Administration Building, 104 East Franklin Street, Circleville, OH 43113.
About notarization
This application is signed and dated without a notary; the applicant also signs and dates the acknowledgment confirming they read and understand the listed provisions.
How to submit this form
- 1
Download the Application
Download the Certificate of Appropriateness Application PDF.
- 2
Complete the Application
Provide applicant and property details, identify the requested change, describe it, and sign and date the application and acknowledgment.
- 3
Gather Required Items
Prepare three application copies, one PDF electronic copy, and a scaled site plan; include an owner authorization letter if the owner differs from the applicant.
- 4
Submit to the City
Submit the copies and electronic PDF to the Department of Public Service at the address listed on the form.
Frequently asked questions
- Do I need a notary for the Certificate of Appropriateness Application?
- No. The application has signature and date fields but no notary block. The applicant also signs and dates an acknowledgment that they read and understand the listed provisions.
- How do I submit the Certificate of Appropriateness Application?
- Submit three copies and one PDF electronic copy to the City of Circleville Department of Public Service at 104 East Franklin Street, Circleville, OH 43113.
- What must accompany the application?
- Submit a scaled site plan showing property lines, existing structures, and proposed construction or changes with dimensions. The checklist also lists an owner authorization letter when the owner differs from the applicant.
- What happens after the certificate is approved?
- The application states that an applicant shall apply for a Zoning Permit upon approval of the Certificate of Appropriateness.
Need something notarized?
This Certificate of Appropriateness Application doesn’t need a notary — but if you have another Circleville form that does, a commissioned online notary can help.