HOUSE HISTORY QUESTIONNAIRE
 

NAME:      

ADDRESS:

PHONE:    

What year was your house built? 

Do you know the date(s) and/or details of any additions, changes or alterations to the house?

Do you know the names of any previous owners and the periods in which they lived at your address?

Name of Previous Owner:   
Period of time in they lived in Home:

Name of Previous Owner:   
Period of time in they lived in Home:

Name of Previous Owner:   
Period of time in they lived in Home:

Name of Previous Owner:   
Period of time in they lived in Home:

To your knowledge, were any of the previous owners significant in the history and development of Palos Park or notable people outside of Palos Park? If yes, please describe:

Please note any additional historic information about your house and/or neighborhood:

Thank you for your input.