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Rev. 04/07/05 Doc. No. 20-06-05-04-04 STATE OF DELAWARE HISTORIC PRESERVATION TAX CREDIT APPLICATION PART 1 CERTIFICATION OF HISTORIC PROPERTY DE SHOO OFFICE USE ONLY NPS No. (if applicable): DE SHOO

Print heading: “Certificate of Historical Preservation (if applicable)” in black ink, then type name, date and location of property, and city and state. If additional space is needed, print continuation sheets or attach blank sheets providing property name and address at the top of each sheet. Name: Date: Property Address: City: State (if applicable): NPS Circular 15A, Permits for Temporary Use and Use at Certain Other Stations, and Circular 33A, Temporary Recreation Area, are applicable to permanent uses on public lands. A permit is not required but may be granted for temporary occupancy. Permit applications must be filed in duplicate with the appropriate National Park Service office to allow for examination and issuance, and to allow the NPS Office to confirm the applicant's identity, qualifications and integrity in accordance with applicable regulations concerning permits. NPS Circulars are available at the local NPS office. DOT is required by State of the District of Columbia Department of Transportation regulations to provide a single form for the issuance of driver licenses and identification cards. To obtain a driver license or ID card from DOT, visit this website and complete the driver licensing application (form DS836). NOTE: All applicant information will be kept confidential and subject to NPS confidentiality and preservation policy. Other Information: If you wish to visit the site and will not use a vehicle, consider parking at the adjacent parking lot, which is a self-contained walkway that allows easy access from a nearby road. The lot can accommodate a walker on the inside and a bicycle on the outside. Vehicles and bicycles may park side by side, side by side, or at the far ends of the lot. A copy of the application for permanent park concession/s to a permanent park is available online, by mail, or by calling (202) 628.4100. Reservation Information The reservation information page is available once you have downloaded and completed your application. Reservations are accepted year-round. When making reservations you can select what day and time you are interested in.

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