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* 1. Are you aware this property is on the National Register of Historic Places or is listed as a Contributing Property of a Historic District?

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* 2. This property is:

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* 3. Are you the owner or renter?

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* 4. In the past ten years, which of the following improvements have been completed on the building? (check as many as apply):

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* 5. How were these improvements funded? (check as many as apply)

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* 6. What improvements do you anticipate making within the next five years? (check as many as apply)

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* 7. How do you anticipate paying for these improvements? (check as many as apply)

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* 8. What is the primary barrier to completing the work you need to complete on your building?

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* 9. For this barrier, please describe the specific issue?

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