Potential Historic Landmark Form
The Charlotte-Mecklenburg Historic Landmarks Commission places properties on its Study List which it believes appear eligible for designation as a Charlotte-Mecklenburg Historic Landmark. Please consult the material in this form to determine whether you wish your property to be considered for such designation. Placement on the Study List does not guarantee that the Historic Landmarks Commission will vote to recommend that the local governing board designate your property as a Historic Landmark. In most instances it will be your responsibility to have a Survey and Research Report prepared which documents the historic, cultural and architectural significance of your property. The Survey and Research Report must conform to professional standards established by the Historic Landmarks Commission. In most instances this will require that you obtain the services of professional consultants.  Fees should be negotiated between you and the consultant you choose. The North Carolina Division of Archives and History maintains a list of consultants.  CLICK HERE FOR LINK   The Commission does have limited funds to prepare Survey and Research Reports on its own initiative.  These monies are reserved for properties which have high levels of historic significance and for which the owner would find it difficult to have a Survey and Research Report prepared.  If you would like for your property to be considered for such consideration, please contact the Commission office at 704-376-9115.  Or email:  [email protected]
Return this form to:
Charlotte-Mecklenburg Historic Landmarks Commission
2100 Randolph Road
Charlotte, N.C. 28207
Telephone: (704) 376-9115
Potential Historic Landmark Form
Type or print in black ink.
In order for your property to be considered, you must supply the following information.
Name of Property: ____________________________________________
Street Address of Property: ____________________________________________
Tax Parcel Number of Property: _______________________________________
(available from Mecklenburg Co. Tax Office)
Owner's Name: ________________________________________________
Owner's Address : ____________________________________________
Phone number: _____________________________
Applicant's Name (If different from the owner): ________________________________________________
Applicant's Address : ____________________________________________
Phone number: _____________________________
If you are not the owner of the property, please supply a written statement of the owner's attitude about historic landmark designation, and/or a copy of a letter you have sent to the owner soliciting the owner's attitude about historic landmark designation, or an explanation of why obtaining the owner's attitude concerning historic landmark designation is not feasible.
Enclose a brief statement on the significance of the property. Include at least four photographs of the property.  Photographs smaller than 1 Megabyte can be e-mailed to the Commission at [email protected]
Make a check out to Mecklenburg County for the appropriate fee and send it with the completed packet. The Application Fee for an income-producing property is $200. The Application Fee for a non income-producing property is $100. Please be advised that payment of the fee in no way guarantees that the subject property will be considered for historic landmark designation.
I hereby attest that I have read the attached consequences of historic landmark designation and affirm that I do favor having the property defined herein designated as a historic landmark.
____________________________________________ Date: _______________
(Signature of Applicant)
If you want the interior of a building or buildings to be considered for historic landmark designation, the owner must sign the enclosed Permission For Interior Design Review Form and return it with this form.
Legal Consequences of Historic Landmark Designation
This document represents the understanding of the pertinent legislation held by the Consulting Director of the Charlotte-Mecklenburg Historic Landmarks Commission and in no way represents a legal opinion.
1. A suitable sign may be placed on a "historic landmark" or, if the owner objects, upon a nearby public right-of-way. This sign states that the property is a "historic landmark." G. S. 160A-400.5.
2. The owner of a "historic landmark" may apply for an automatic deferral of 50% of the Ad Valorem taxes on a "historic landmark." This deferral persists as long as the property retains its status as a "historic landmark." G. S. 105-278.
3. The owner of a "historic landmark" must secure a Certificate of Appropriateness from the Historic Landmarks Commission before any material alteration, restoration, removal, or demolition of any exterior feature of a "historic landmark" may occur. With the owner's written consent or with the previous owner's written consent which has been filed and indexed in the Register of Deeds Office, the Historic Landmarks Commission may exercise authority over the interior of a "historic landmark." G. S. 160A-400.9.
4. A Certificate of Appropriateness for the demolition of a "historic landmark," except as specified below, may not be denied. However, the effective date of the Certificate of Appropriateness for the demolition may be delayed for a period of up to 365 days from the date of approval. A Certificate of Appropriateness for the demolition of a "historic landmark" may be denied, if the subject "historic landmark" is determined by the State Historic Preservation Officer as having State-wide significance as defined by the criteria of the National Register of Historic Places. G. S. 160A-400.14.
5. Local governing boards may exercise the power of eminent domain and thereby acquire those "historic landmarks" for which an application has been made for a Certificate of Appropriateness for demolition. G. S. 160A-241 and G. S. 40A-3 (b) (8)
For further information or questions, call the Charlotte-Mecklenburg Historic Landmarks Commissionat at 704-376-9115. 
Pursuant to North Carolina General Statute 160A-400.9(b) on historic landmarks, we,
owners of record, do hereby request designation of interior spaces as such spaces have been deemed to have architectural, artistic, cultural, or historical significance. We understand that changes to designated portions of the property are subject to design review for compliance with The Secretary of the Interior's Standards for Rehabilitation and Guidelines for Rehabilitating Historic Buildings. We give permission to the Charlotte-Mecklenburg Historic Landmarks Commission to exercise jurisdiction for design review over all interior designated portions of the following building or buildings located at: (Type or Print in Black Ink)
Name of Historic Landmark:___________________________________________
Street Address of Building or Buildings: _______________________________
City, State, and Zip:____________________________________________
Tax Parcel Number or Numbers:_______________________________
Signature __________________________
Name (Print) ____________________________
Date _________________
Signature __________________________
Name (Print) _____________________________
Date _________________
You should only contact a consultant after the property has been placed on the Study List of prospective historic landmarks by the Historic Landmarks Commission. Otherwise, you may be spending money needlessly. Also, the hiring of a consultant and the preparing of the necessary documentation by him or her does not preclude the possibility that the Historic Landmarks Commission might vote against recommending the property for historic designation or that the local governing board may vote not to designate the property.
You should make clear to the consultant that the consultant will be responsible for:
Preparing a Survey and Research Report and supplying suitable electronic copies of same to the Historic Landmarks Commission
Taking record photographs of the property and submitting files to the Historic Landmarks Commission.
Scheduling and conducting a site visit to the property by members of the Historic Landmarks Commission.
Presenting the documentation on the property to a meeting of the Historic Landmarks Commission.


Charlotte-Mecklenburg Historic  Commission