Homeowner Rehabilitation Program

Redevelopment Authority

City of Philadelphia

Request for an Environmental/ Historic Review

Please submit this form as soon as a potential property is identified. At least one to two months before a formal application is made. Waiting to submit this form along with the application may cause the approval of your project to be delayed.

Date: ___________

Developer: __________________________________________

Contact person:______________________________________

Phone Number: ______________________________________

Address

Zip Code

Census Tract

Council District