Beaver Beacon photo gallery — original for photo 1634 (applicaton). Permalink https://www.beaverbeacon.com/gallery/showphoto.php?photo=1634.
Visual descriptionwritten by a machine · unchecked
A scanned, vertically oriented one-page printed referral form is shown. It contains blank lines for household and contact information, explanatory paragraphs, check marks, an income table, and a client home assessment section. One referring-person field contains handwritten text; most other fields are blank.
A model wrote this. It was shown the image and the catalogue record together, and asked to keep them apart — what it saw is here, what the record told it is under "taken from the record" below. It is still wrong often enough to matter, about who is pictured, where, when, and what is happening. Read it as a way to find the image, never as evidence about it. If you can correct it, please do: write to michael.bommarito@gmail.com, or see how corrections work. Someone who recognises a face or a shoreline knows more than the model did.
Beaver Beacon (individual photographers credited per image)
2,549 × 3,299 px · JPEG · 1.3 MB
Subjects and keywords
Text in the image
Transcribed from the object itself.
Weatherization Referral Mail to: Northwest Michigan Community Action Agency 3963 Three Mile Road Traverse City Michigan 49686 (231) 346-2173 or 1-800-632-7334 x 4100 / Fax (231) 933-9411 FOR OFFICE USE ONLY M/A 10 DL PLEASE PRINT Referring Agency/Person: Chuck / Beaver Island Owner ____ Renter ____ Client Name: ______________________________ Land Contract ____ Address: ________________________________________________ City __________ State ____ Zip ______ County ______________ Home Phone: (___) __________ Contact Phone: (___) __________ This is not the Weatherization Application. You will receive the application when the program is within 12 months of weatherizing your home. To be eligible for this service your total household income in the last 3 months (from the date Application is signed) must be at or below 200% of the poverty guideline. See chart below. If you are unsure, call our office for assistance. Renters or Land Contracts will be sent an agreement that must be signed by the Landlord/ Land Contract holder. The dwelling must not be for sale. 200% poverty | Family size | Last 3 months of income 1 | $ 5,662 2 | $ 7,404 3 | $ 9,156 4 | $ 11,028 Add $1872 for each member over 4 Client Home Assessment Do you have any moisture problems in your home (i.e. leaking roof, windows, doors, mildew)? Please describe the problem Please tell us anything about the condition of your house that will help us to determine what the program can and can’t do for you. Client Signature __________________________ Date __________ 7/14/2009
Taken from the record
Not observed in the image — supplied by the archive's own catalogue, and repeated here so the two stay distinguishable.
The catalogue record identifies this as a photograph from the Beaver Beacon photo gallery, titled “applicaton,” dated January 13, 2010, and credited to Beaver Beacon with individual photographers credited per image. The record describes it as the original for photo 1634 and gives the filename “applicaton.jpg.”
Could not make out
Stated rather than guessed at.
The small office-use entries and some handwritten or printed field labels may be difficult to distinguish precisely. The handwritten referring-person entry appears to read “Chuck / Beaver Island.”
Rights and credit
© the individual photographers and/or the Beaver Beacon. The gallery's own footer states, verbatim: "Copyright Note: You must obtain written permission from the copyright holder before using any of these images for any commercial purpose. Contact the Beaver Beacon if you have any questions or need to contact the copyright owner of a specific image." The site footer adds: "© 2002-2010 The Beaver Beacon. All Rights Reserved." No licence, public-domain dedication or terms-of-use page was located anywhere on the gallery; the note above addresses commercial use only and is silent on non-commercial republication, and that silence is recorded as silence rather than read as permission.
Credit this to Beaver Beacon (individual photographers credited per image) when you use it.
Why this archive publishes it. Beaver Beacon site and photo gallery. The gallery's notice conditions COMMERCIAL use on written permission and says nothing about any other use; this archive is non-commercial, so that condition is met. Credit and a link to the photo's own gallery page accompany every item. The gallery is also no longer maintained — its newest upload is dated 2019-05-26 and the site footer stops at 2010 — which is the case for preserving it rather than an argument that its terms lapsed. Removal on request, from the Beacon or from any photographer.
Material goes off the web without anyone deciding that it should: a host lapses, a gallery is retired, a link stops resolving. Holding a copy — with its provenance, its checksum and its holder's terms recorded beside it — is much of why this archive exists. If you are looking for something whose original has since gone, write to michael.bommarito@gmail.com and a full-size copy of what is held here will be sent to you.
Recorded verbatim from the provenance sidecar taken at retrieval — this archive does not restate a holder's terms in its own words, does not add a restriction the holder did not state, and does not abridge one.
Provenance
- Held by
- Beaver Beacon (individual photographers credited per image)
- Collection
- Beaver Beacon photo gallery
- Date
- 2010-01-13
- Original
- https://www.beaverbeacon.com/gallery/data/500/applicaton.jpg
- Copy taken
- 2026-08-04
- Title from
- the holder's own catalogue
| cat id | 500 |
|---|---|
| date display | January 13, 2010 |
| date iso | 2010-01-13 |
| filename | applicaton.jpg |
| filesize display | 47.3kb, 1341.3kb |
| filesizes bytes | 484351373491 |
| listing url | https://www.beaverbeacon.com/gallery/showgallery.php?page=1&ppuser=39 |
| member uid | 39 |
| original url | https://www.beaverbeacon.com/gallery/data/500/applicaton.jpg |
| permalink | https://www.beaverbeacon.com/gallery/showphoto.php?photo=1634 |
| photo id | 1634 |
| rating | None |
| thumb url | https://www.beaverbeacon.com/gallery/data/500/thumbs/applicaton.jpg |
| title | applicaton |
| title display | applicaton |
| title truncated | |
| uploader | BobTidmore |
| views | 2056 |
The file
| Rendition | Format | Extent | Size | SHA-256 |
|---|---|---|---|---|
| Master | JPEG | 2,549 × 3,299 px | 1.3 MB | c064527068f4… |
Checksums are the values recorded when each copy was taken.
Download
- Web-sized image1200 × 1553 · 87 KB · WebP
- The full-resolution original, from Beaver Beacon (individual photographers credited per image)2,549 × 3,299 · 1.3 MB · JPEG
The archive holds its own copy of that file and will supply it on request; it is not re-served here, because the holder serves it better and a second copy is a second thing to go stale.
Cite this
“applicaton”. 2010-01-13. Beaver Beacon (individual photographers credited per image). Beaver Island Archive, https://beaverislandarchive.org/media/photograph/applicaton/. copy retrieved 2026-08-04.
Built only from what the archive recorded: the names on the record, the title as recorded, the date if one was recorded, this page, and the date the copy was taken. Nothing is filled in to satisfy a citation style.