WISCONSIN HISTORICAL MARKER APPLICATION FORM

Similar documents
Wisconsin Historical Marker Application Form

Nuneaton Volleyball Club

Executive Summary #GPC IV-18 Safe Routes to School Plans 2011

ASSEMBLY OF FIRST NATIONS 2014 GOLF FUNDRAISER TOURNAMENT

2015 WBA Bankers Convention

WPGA JUNIOR FOUNDATION, INC SCHOLARSHIP APPLICATION

Made for Captives PROSPECTUS SPONSOR / EXHIBITOR PONSOR / E

Saturday, October 17, 2015

2013 Tournaments. February April For reserva ons call Addi onal op ons detailed on page 2.

Arizona Swimming Open Water Meet Sanction/Approval Procedure & Application

Anime Los Angeles Masquerade Official Rules

Welcome. Harley O. Weatherly PRESENTED BY CRAIN AUTOMOTIVE MAY

FRATERNAL ORDER OF EAGLES FLORIDA STATE AERIE HALL OF FAME PREAMBLE PURPOSE The Fraternal Order of Eagles, Florida State Aerie, has a long and rich tr

Tuesday, July 4, 2017

Members Signature: Parent Signature: Leader Signature:

Reflec ons: Looking Back Moving Forward. Trade Show. Information Packet. Tuesday, October 23, 2018

Automated External Defibrillator Program

KASB 2017 Superintendents Survey Annual Report Ted Carter, Research Specialist December, 2017

Na onal Study of Hispanics on Environmental Issues. Bendixen & Amandi Interna onal. Date: June 14, Introduc on

BACKGROUND INFORMATION DOCUMENT

The City of Garden City, Kansas invites your interest in the position of Golf Professional at Buffalo Dunes Golf Course

Intersec ons. Alignment. Chapter 3 Design Elements. Standards AASHTO & PennDOT: As close to 90 as possible, but a minimum of 60.

Corporate Sponsorship 2016

Dra Design and Land Use Op ons Booklet

HOME Foundation Annual Charity Golf Tournament

WFDF 2019 European Beach Ultimate Championships, in association with BULA. Portimão, Praia da Rocha Algarve, Portugal

Chiefly Speaking. Hello Brothers,

Volume 3 December, Pleasant Valley Drive * Springboro, OH * * (937)

INFRASTRUCTURE & AMENITIES. Bicycle Parking. Chapter 3 Design Elements INFRASTRUCTURE & AMENITIES BICYCLE PARKING

Form 1 State Fair 2018

2016 PGA SPECIAL AWARDS PROGRAM PGA Golf Professional of the Year

TTEACHER HEACHER H A N D B O O K NASHVILLE'S PASTIME

Adult Leader Associa on

Melrose Area High School 2017 Football Cheerleading Contract

Sponsorships, Marke ng, Partner Guide 2018

City of Litchfield Park ~ Community & Recreation Services Department ~ Youth Sports Programs RULEBOOK

Archery Australia BOARD NEWS D E C E M B E R

Overview Introduc on Project Process Key Issue:

BRITISH CANOEING OLYMPIC & PARALYMPIC PROGRAMMES World Class Programme Qualifica on Policy (1 January Dec 2019)

How To Troubleshoot Low Pressure On Well Systems Page 1

Shared Use Facili es. Mul -Use Trails. Chapter 3 Design Elements BICYCLE/PEDESTRIAN MULTI USE TRAILS

Department C Dairy Ca le Kim Walker Estep, Superintendent, Lewisburg, West Virginia Sandy Davis, Assistant Superintendent, Mar nsburg, West Virginia

OCCUPANCY QUAD TRIPLE DOUBLE SINGLE QUAD TRIPLE DOUBLE SINGLE QUAD TRIPLE DOUBLE SINGLE

Steering group. Research group

G Corp PO Box 5322 Lacey, WA CORP.CO User Instruc on/ Safety Manual

2014 UNIVERSITY OPEN TENNIS CHAMPIONSHIPS

A Flames of War tournament in a tank museum!

SESSION 2 SATURDAY Session 17 1 DECEMBER 2016

Global Formula Racing Defends Formula SAE Michigan 1st Place Title

A en on Players in U.S. Open Qualifying

2014 STATE OF THE SYSTEM REPORT

! PARTICIPANT APPLICATION 2017

W O M E N A N D H O R S ES

ASSESSMENT METHODOLOGY

Country Roads WV Local Technical Assistance Program

Queen of Apostles Netball Club Newsletter May 2011

DEADLINES RATES. Reference Handbook of Straight Egyptian Arabian Horses Worldwide Volume XIII

MANUAL R EXHC RZ EXHC. Verkstadsvägen 2, SE SKELLEFTEÅ, Sweden Tel , Fax

SUMMER 2016 YOUTH BASKETBALL

March Rebel Na onals Sailing Instruc ons July 14-16, 2017 Clark Lake Yacht Club Clark Lake, MI Sailing Instruc ons

RE: National Bike to Work Day in Bloomington and Monroe County, May 18, 2012

7th Edi on, Update 6 November 2017 Roadway Conges on & System Reliability

Robert Bartholomew Germantown, NY Dairy Goat Judge. Tues. Wed. 15. (Rolling Schedule) Senior Dairy Goat Show 5:30 pm. Costume Contest 6 pm

PREGAME. Meet with each head coach and have him: verify that players are legally equipped, relate any unusual plays or forma ons.

PGM QUALIFYING SCHOOL LEG 4 / 2018

Air Eliminators and Combination Air Eliminators Strainers

36 th SINGAPORE OPEN WINDSURFING CHAMPIONSHIP

Amateur So ball Associa on of Southern California

What is Project SAFE? What are the Project SAFE objec ves?

Springhead Park Golf Club Newsle er

Roadway Design Standards

CANTON LIONS JR. FOOTBALL CLUB BYLAWS Revised/Approved February 2016

HISTORICAL GROUP DANCE

WHITELAW RIGGING & FAB.

2014 REPORT CARD 2014 STRATEGIC ACTION PLAN REPORT CARD

Public Engagement Session

MOOSE HUNT 2018 The Bois Forte Band of Chippewa is having a Moose Hunt this year and it will be held within the boundaries of the Reservation.

Application 2018 Montana TU Conservation and Fly Fishing Camp

From the FBC 4-H Team

British Synchronized Skating Championships 2016

SEMINOLE CLUB H A COMPREHENSIVE GUIDE TO SEMINOLE CLUBS AND CHAPTERS IN YOUR COMMUNITY

RIVER VALLEY DISTRICT 4-H

The Wincanton Supplier Trading Process. Detailed Guidance Notes PO Transactions

Long Beach Sprinters YOUTH TRACK REGISTRATION

S A F E T Y D A T A S H E E T

Participant Handbook

Students may only dance 2 consecu ve age divisions (may challenge a higher division) and 3 levels (including open levels)

New Hampshire Fish and Game Department 2018 NEW HAMPSHIRE MOOSE HUNT *

Creating Healthy Communities Coalition

VWM5556 VB 15. VIBRANCE COLLECTION Waterborne Midcoat

Adult Leader Associa on

City Of Portage Urban Deer Application

THE PATRIOT AWARD 2018 Nomination Form

ALL Birthday Party Reserva ons must be made AT LEAST 14 days in advance of the event

Guidelines for Contributors

Fly Ball Communica on Dominant Player Chart

HORSE NAMING POLICY AIM

18 :. : (2 : (4 ( : ) ( : ) ( :) (2 ( : ) ( :) ( : ) (4-1 : (1 : (3-2 ( : ) ( : ) ( : ) (1 ( : ) ( : ) ( : ) (3-3 ( : ) ( : ) ( : ) ( : ) ( : ) ( :) (

200. REGISTRATION 201. GENERAL PROVISIONS/DEFINITIONS

APPLICATION FOR A HRNSW STABLEHAND LICENCE PAID WORKER NON-DRIVING ONLY

Transcription:

WISCONSIN HISTORICAL MARKER APPLICATION FORM This applica on is required to obtain approval for official State of Wisconsin historical markers. The Wisconsin Historical Markers Program is administered by Local History Field Services, Wisconsin Historical Society's. State Register of Historic Places plaques no longer require Wisconsin Historical Society approval. If your home is on the State Register, order State Register plaques directly from SEWAH Studios at 1 888 55 SEWAH. This applica on form must be filled out completely. Incomplete or ineligible marker applica ons will be returned to the applicant within 30 days of receipt by the Society. The applicant is responsible for: Providing all research documenta on & suppor ng materials for this applica on. Funding the historical marker. Maintaining the historical marker Please allow sufficient me for your order. The marker text requires approval of Wisconsin Historical Society staff. Because there is o en a backlog of pending applica ons and staff is limited, please allow up to 6 months for our staff to review your applica on. Once approved, the Society will order your marker from SEWAH Studios, where the marker is cast and shipped within 6 12 weeks. We advise you not to schedule a marker dedica on ceremony un l the marker order has been submi ed to SEWAH Studios. Do not submit payment un l invoiced. All historical markers are manufactured by SEWAH Studios in Marie a, Ohio. Once this applica on has been approved, the Society will place the order for manufacture of the historical marker. SEWAH will invoice the applicant directly once the applica on process is complete. The marker will be delivered directly to the applicant. Criteria for Historical Marker Topics Wisconsin historical markers iden fy, commemorate and honor the important people, places, and events that have contributed to the state's rich heritage. The Wisconsin Historical Markers Program is a vital educa on tool, informing people about the most significant aspects of Wisconsin's past. Markers should describe one of the following aspects of Wisconsin's history: history, architecture, culture, archaeology, ethnic associa ons, geology, natural history, or legends. If your narra ve text is about a person in history, we encourage you to include the person s birth and death dates, a chronology of the important events from the person s life and the person s influence or significant contribu on to the na onal, state or local community. If your narra ve text is about an event in history, we encourage you to include the me, date and place of the event, any people or groups associated with event, informa on on how the event developed, and the event s influence or significant contribu on to the na onal, state or local community. While developing your narra ve text, we encourage you to document your facts and dates with footnotes. You will be required to develop an annotated bibliography and a ach photocopies of your primary and secondary research resources with this applica on. Avoid words like "first," "oldest," "unique," or, "only" unless there is irrefutable documenta on. The name of the current owner of the property or the name of any living person cannot be listed in the narra ve text. The Society reserves the right to reject a marker applica on that it deems offensive, either to general good taste or to a specific group of people. The Society will consider the approval of marker applica ons if the applica ons meet any of the following criteria: The property is listed in the State or Na onal Register of Historic Places. The site is associated with the events that have made a significant contribu on to the broad pa erns of history. The site is associated with the lives of persons no longer living whom have made significant contribu ons to the broad pa erns of history and culture. The site embodies the dis nc ve characteris cs of a type, style, period or method of construc on or architecture, or representa ve of the work of a master, or that possess high ar s c value. The site yields, or likely to yield, informa on important in prehistory or history. The site is associated with ethnic groups who have made dis nc ve and significant contribu on to history. The site embodies the characteris cs of the State represen ng significant aspects of the physical or natural history of the earth. The site is representa ve of popular stories or myths that, although not verifiable, are significant to history and culture.

WISCONSIN STATE HISTORICAL MARKER APPLICATION FORM 1 Name of Applicant 2 Proposed Title of Marker 3 Proposed Loca on of Marker Be precise. A ach a descrip on and map with the marker loca on shown. Please note that sites already marked with an official state historical marker are not eligible for a second marker. Property Name (if applicable) County 4 Owner of Property Upon Which the Marker is to be Erected Markers may be located on either public or private lands. The site selected for the marker must be accessible to the public and visible from a public right of way. Provide the name of the property owner below. Public Property Official s Name: Private Property Property Owner s Name: Title: : Ins tu on: Telephone: City, State & Zip: Telephone Email: Email: Wri en Permissions Required For markers placed within a public right of way, please a ach a le er of approval from the appropriate transporta on official or governing body that has jurisdic on over that public right of way. If the marker is to be placed on private property not owned by the applicant, please a ach a le er of approval from the property owner. The le er should grant permission for the historical marker to be located on their property and permit public access to the marker for as long as the marker stands. 5 Source of Marker Funding The applicant is responsible for funding all aspects of the marker, including the purchase, installa on, and maintenance costs for the marker. Provide the name of the person or organiza on that is providing the funds for the marker. Funder s Name: Telephone: : City, State & Zip: 6 Maintenance of Marker Provide the name of the organiza on responsible for long term maintenance and repair of the historical marker below. The organiza on should be either a private non profit or a governmental en ty willing and able to assume the long term maintenance of this marker. Name: Telephone: : City, State & Zip:

7 Research Sources for Narra ve Text Below please list an annotated bibliography that details the primary and secondary research sources cited to support the historic facts included in your narra ve text. A ach photocopies of all suppor ng documents with this applica on. Applica ons without suppor ng documents cannot be processed. The Society reserves the right to have a marker removed if addi onal research finds your marker text to be incorrect.

8 Historical Markers Price List Official State of Wisconsin historical markers are made of cast aluminum and have raised cream colored le ers on a brown background. All wall mounted markers have one side. All post mounted markers have two sides. NOTE: The es mated cost for posts for a city marker (also known as "History on a S ck") is included in the quoted price below. The es mated cost for posts for the larger two post marker is extra and not included in the es mated price below. Please check with SEWAH Studios directly to determine the cost of posts. Keep in mind that all the costs below are es mates and can change at any me. We strongly recommend that you contact SEWAH directly to ensure you know what the price will be on any marker you decide to order. Select the appropriate model for your marker from the list below Size Height x Width Model Details Total Character Count (Characters counts must include spaces between sentences.) Price * A 16 x 24 Small City Marker 5/8 le ering, wall mounted 320 $640 B 16 x 24 Small City Marker 5/8 le ering, post mounted, same text each side 320 $855 C 36 x 24 City Marker 1 le ering, wall mounted 396 11 lines, 36 spaces each D 36 x 24 City Marker 5/8 le ering, wall mounted 848 16 lines, 53 spaces each $1510 $1630 E 36 x 24 City Marker 1 le ering, post mounted, same text each side F 36 x 24 City Marker 5/8 le ering, post mounted, same text each side G 36 x 24 City Marker 1 le ering, post mounted, different text each side H 36 x 24 City Marker 5/8 le ering, post mounted, different text each side I 72 x 54 Two Post Marker 1 ½ le ering, post mounted (moun ng available for $750 addi onal) J 72 x 54 Two Post Marker 1 le ering, post mounted (moun ng available for $750 addi onal) 396 11 lines, 36 spaces each 848 16 lines, 53 spaces each 792 11 lines, 36 spaces each 396 characters per side 1696 16 lines,53 spaces each 848 characters per side 1196 26 lines, 46 spaces each 2006 34 lines, 59 spaces each $1720 $1825 $1890 $2010 $4790 $5030 * Price includes shipping. Prices last updated July 2018. Prices subject to change at any me. Verify all pricing with SEWAH Studios at 1 888 55 SEWAH. Other costs: Post for highway/city markers: Posts for 72 x 54 with pyramidal cap: Refurbish city/highway markers: Refurbish 2 post markers: $325 each $750 pair $800 (includes round trip shipping) $1200 (includes round trip shipping)

9 Suggested marker narra ve text Type or print your suggested marker narra ve text below. A ach addi onal sheets as necessary. In addi on to submi ng this applica on, the Society requests that this narra ve text be submi ed via email as a Microso Word document a achment. All text is subject to edi ng by Wisconsin Historical Society.

10 Applica on submi ed by Name Organiza on Telephone Email I have verified that the above informa on is accurate and correct to the best of my knowledge. I will fund and maintain the marker, or I am authorized to commit the person or organiza on named in Sec on 5 to fund the marker, and I am authorized to commit the person or organiza on named in Sec on 6 to the maintenance of the marker. I understand the legal obliga ons of marker applicants under Wisconsin Statutes. Applicant signature: Date: 11 Billing address (SEWAH Studios will direct bill marker applicants) Name Organiza on 12 Shipping address if different from billing address. Commercial addresses open during regular business hours are preferred. Name Organiza on 13 Submit digital images Once the marker has been installed, the applicant must submit three high resolu on digital images (preferably jpegs) of the marker to the Wisconsin Historical Society. Send applica ons to: State Historical Markers Program Rick Bernstein Wisconsin Historical Society 816 State Street Madison, WI 53706 Email your narra ve text to rick.bernstein@wisconsinhistory.org The Society will review and approve applica ons that meet the requirements under Wisconsin Statute s. HS 4.06. An applica on will be approved or disapproved within 180 days of receipt by the Society. Marker installa on will be the responsibility of the applicant. Markers will be shipped and invoiced directly from the marker manufacturer to the applicant.