2. Loudoun County Heritage Register Application

   Please use this form to apply for inclusion in the Loudoun County Heritage Register (LCHR).

   If you need assistance completing this form, please contact the Department of Planning and Zoning: 

   • Email the Dept. of Planning and Zoning
   • 703-777-0246 (Option 5)
4. About the Register

   To be considered for listing in the LCHR, a property must be at least 50 years old, and possess either integrity of location, design, setting, materials, workmanship, feeling or significant association to Loudoun County. 

   A designated property may also possess natural, historical, architectural, archeological, or cultural significance and meet one or more of the following criteria:

   • Association with an event or person that has made contributions to the broad patterns of our local history;
   • Represents Loudoun County’s rich agricultural history;
   •  Representative of a community local to Loudoun County, including historic villages that are no longer incorporated; 
   • An example of a type of building or architectural or technological ensemble or landscape which illustrates distinctive characteristics of a type, period, or method of construction, or that possesses high artistic values; or represents a distinguishable entity whose components may lack individual distinction; 
   • Yields or may be likely to yield, archeological information important in history or prehistory (Archaeological sites must be at least 100 years old to meet eligibility);
   •  An established and familiar visual feature due to its singular man-made or natural characteristics or features; or environmental feature (i.e. diabase glades, fens, etc.); 
   • An outstanding example of community design and/or compatible infill development.

   Examples of resources or sites that may be eligible:

   • Public and private residences, accessory structures in historic rural villages, farms, mills, churches, schools, bridges. 
   • Resources that have undergone minor alteration may still be eligible so long as they retain some level of integrity. 

   Examples of resources that would not be eligible: 

   • Resources that have undergone major alteration and do not retain connection to Loudoun County heritage or adequate level of historic integrity.

   Any resource that is already listed on the NRHP and/or the VLR-- or is deemed officially eligible by the Virginia Department of Historic Resources (VDHR) for inclusion on the state register -- will be grandfathered onto the LCHR, however, property owners will have the option to remove their property from the LCHR through written notification to DPZ staff.

6. Property Information
8. Property Name (Current)*
9. Property Name (Historic)
11. Property Location/Address*
13. Address2
15. City*
16. State*
17. Zip*
19. Property PIN

    To find the Property PIN number, enter the property address here.

21. Is the site under easement?

    1. Yes
    2. No
22. If the site is under easement, with which agency?
24. Type of Ownership
    -- Select One --PrivatePublic (Local)Public (State)Public (Federal)
25. If the site is privately owned and access is limited or not available, do you wish to have the site address listed in the public LCHR?

    1. Yes
    2. No
27. Owner Information
29. First Name
30. Last Name
32. Mailing Address
34. City
35. State
36. Zip
38. Phone Number
39. Email Address
41. Are there multiple owners? If yes, please upload a list of names and contact information.

    1. Yes
    2. No
42. If applicable, upload list of multiple owners here
44. Applicant Information (if different from the Owner)

46. If an individual other than the owner is submitting this application, include written consent from the property owner with this application. Property owner consent is required before the application is submitted to the Heritage Commission for review. 

    If the property is already listed on the National Register of Historic Places, or the Virginia Landmarks Register (or has been deemed eligible by the Virginia Department of Historic Resources), written consent is not required.

    Resources eligible for listing in the Register for which written consent has not been obtained will not be listed in the Register. Instead, they will be listed on an internal Inventory of Historic Resouces, maintained by the Department of Planning and Zoning. 

48. First Name
49. Last Name
51. City
52. State
53. Zip
55. Letter of consent

    Please upload a letter of consent, signed by the property owner.

57. General Property Information
59. Acreage
60. Setting
    -- Select One --UrbanSuburbanTownVillageRural
62. Description of Property

    Please upload a document that summarizes the general characteristics of the entire property. 

    • Describe its current use (and historic use, if different) and the primary buildings and/or structure on the property (e.g., house, store, school church, building, bridge, burial grounds, geological and natural features). 
    • Include information about the architectural style, materials and methods of construction, physical appearance and condition (interior and exterior) and any additions, remodeling, or other alterations.
    • Briefly describe any outbuildings or secondary resources (e.g., barns, sheds, dam and mill pond, storage tanks, scales, railroad spurs, etc.), and include their condition and estimated construction dates. 
    • Are there any known threats, such as deterioration or demolition, to the property? If so, briefly describe.
64. Upload Description of Property

    Please upload your document here.

66. Property's History and Significance
68. Date built, discovered or planted
69. Architect and/or builder (if known)
70. Specific Dates of Importance (if known)
72. Photographs, Images, Maps

    Please upload at least 6 current images of the property, including visible exterior elevations/views, any relevant architectural details, and outbuildings, and the overall setting. 

    Each photograph should be labeled with a description (e.g., View of the front elevation of the building").

    A location map and a sketch map must be included with the application.

    A location map shows the exact location of the property. The map can be created using Google Maps, Google Earth, Bing, or other mapping websites. A copy of a road map may also be used, as long as the property's exact location and physical address are shown on the map.

    A sketch map shows the locations of all resources on the property, such as:

    • the main building
    • any secondary resources, such as outbuildings
    • major landscape features, such as streams, formal gardens, driveways and parking areas
    • the road on which the property fronts.

    The sketch map can be drawn by hand, or can be an annotated aerial view, tax parcel map or survey map.

    Historical maps and images may also be included, if available. 

    Please include sources for all images and maps.

74. Image 1*
75. Image 2
76. Image 3
78. Image 4
79. Image 5
80. Image 6
82. Image 7
83. Image 8
84. Image 9
86. Map and Photography Sources
88. Major Bibliographic References

    Please include any primary or secondary sources that may be helpful to continuing research on this property, as well as any sources that are referenced in the narrative sections of this form.

90. Thank you!

    If you have any questions or need additional information, please contact the Department of Planning and Zoning: 

    • Email the Dept. of Planning and Zoning
    • 703-777-0246 (Option 5)
Leave This Blank:


92. 1. Receive an email copy of this form.
93. Email address

    This field is not part of the form submission.

94. Submit Submit and Print

* indicates a required field