Edina Heritage Award Nomination Form

Please fill out the following form.

Name of Property *
Address of Property *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code
Owner of Property * First Last
Address of Property *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code
Preferred Phone Number * ### - ### - ####
Preferred Email *
Reason: What was done to preserve and/or restore the historic integrity of the nominated property? *
Image Upload *
Professionals (if any) involved in the project; please provide contact information
Realtor
Architect
Builder
Designer
Other
Submitted by * First Last
Public Data Warning *
I understand that some of the information provided in this form will be public data. Public data is available to anyone who makes a request for such information.