Application for GCHS Century Home and Landmark Designation


For a fee of $100 the owner will receive a finished 12” by 18” metal plaque bearing the seal of the Gasconade County Historical Society and the name of the original owner and the date built.

In your application, please include at least two (2) forms of verification, which can include photo copies of the Deed of Trust, plat book entry, wills, letters, newspaper articles, legal description, as well as any other substantiated photographic documentation. Also, please include photographs of the front, rear and side elevations of the home or structure.

Please complete the form below

Name *
Name
Address of Location *
Address of Location
Present Owner's Name *
Present Owner's Name
Present Owner's Address *
Present Owner's Address
Present Owners Phone *
Present Owners Phone