[Historic Marker Application: St. Augustine Parochial School] Page: 3 of 88

                                
APPUCATION FORM
OFFICIAL TEXAS HISTORICAL MARKER
(PLEASE COMPLETE BOTH SIDES OF FORM.)

SEP 28 19
EiXAS HISTORICAL COMMio5,,

This marker is for (title or subject):  St. Augustine School
(Title subject to change by THC staff and/or State Marker Re 'ieu, Board.)
County:    Webb
Marker location (street address and city, or specific directions from nearest town on state highway map):
201 San Agustine Avenue
Laredo, X /78U4U

Distance and direction of marker topic from marker site (if applicable):

APPROVAL OF COUNTY HISTORICAL COMMISSION
The application and narrative history must be approved by the county historical commission before forwarding to the
Texas Historical Commission.
Signature of CHC chair or Marker Committee chair:
Date:  September 2,  9
Date:
Address:  City Planning Department, 1110 Houston St., Laredo, TX       78040
Phone: 956-791-7441              FAX: 956-791-7457
The CHC chair or Marker Cor;. mitte chair automatically will receive all copies of correspondence regarding this
marker project.
PERMISSION OF OWNER FOR MARKER PLACEMENT
Permission for placement of a marker must be obtained by the property owner. Please provide the name of a contact
person if the owner is an institution, organization, or public entity. This section need not be completed if the marker
is to be placed on right-of-way maintained by the Texas Department of Transportation.

Name: Monsignor James Harris, St. Augustine Church
Contact person (if applicable):
Mailing address: 201 San Agustin Avenue
Laredo, TX  78040                Phone:

U

Owner's Signature:

6VvAL&     f~v.

Do you wish to receive copies of all correspondence concerning this marker application? a Yes  J No
To whom should the request for payment be addressed?
Name: Webb County Historical Commission, %Nina Nixon-Mendez
(Provide contact person if payee is an institution, organization ornublic entity.)
Mail1110  ouston St., Laredo, TX  7804(T
Mailing address:

Phone: 956-791-7441

FAX9: 56-791-7457

Does this person wish to receive copies of all other correspondence concerning this application?  I Yes 1x No
Is there anyone else to whom all correspondence concerning this marker application should be
addressed? (One additional name and address only, please.)
Name:
Mailing address:

Phone:

FAX:

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