Endangered Building Nomination Form

Please fill out the form below to nominate a building for our list.  Any information you can provide will be helpful.  Fields marked in bold are required. 

Your name
Your e-mail address
Your phone number
Endangered property address If unknown, use intersection.
Owner of property If unknown, please look up on the Douglas County Assesor's Website
Owner's address
Owner's phone number
Property status	Choose one... Occupied Vacant Listed on the National Register of Historic Places Local historic designation Unknown
What is threatening this property?
Has the owner been contacted about this nomination?	Choose one... Yes No
Is there any known opposition to the preservation of this property?	Choose one... Yes No
Have you contacted the State Historic Preservation Office about this property?	Choose one... Yes No
Are there any other organizations or individuals who support this nomination? If so, list their names and phone numbers.
Any other information