Peckhill & Dunne, LLC



TO BE PRINTED ON HISTORICAL ARCHITECT OR ENGINEER’S LETTERHEAD

CERTIFICATE OF CONFORMANCE

This is to certify that the work executed on the [name of the project property] was performed by the [name of the contractor] at [address of property] in accordance with plans and specifications approved by the Department of Economic and Community Development, State Historic Preservation Office and that all work executed conforms to the Secretary of the Interior’s Standards for the Treatment of Historic Properties.

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| |[Name of Signatory] |

| |[Title of Signatory] |

| |[Grantee Organization] |

| |In [Muicipality], Connecticut |

| | |

| | |

| |Date |

| | |

| | |

| |[Name of Architect or Engineer] |

| |[Name of Architectural or Engineering Firm] |

| | |

| |Date |

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