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Show NPS Form 10-900 (Oct. 1990) OMB No. 10024-0018 United States Department of the Interior National Park Service National Register of Historic Places Registration Form This form is for use in nominating or requesting determinations for individual prop Register of Historic Places Registration Form (National Register Bulletin 16A). Cc nplete each iterr&^fi! information requested. If an item does not apply to the property being documente materials, and areas of significance, enter only categories and subcategories fro continuation sheets (NPS Form 10-900a). Use a typewriter, word processor, or computer, to complete all items. historic name box or by entering the hitectural classification, Jepson, James. Jr.. House other name/site number street & town city or town state Utah 15 East Jepson not for publication Virgin vicinity code UT county Washington code 053 zip code 84779 As the designated authority under the National Historic Preservation Act, as amended, I hereby certify that this Kl nomination D request for determination of eligibility meets the documentation standards for registering properties in the National Register of Historic Places and meets the procedural and professional requirements set forth in 36 CFR Part 60. In my opinion, the property meets Q d°es nottmeet the National Register criteria^ I recommend that this property be considered significant natjpqally [jtstatewide g| locally. ( Q^ee/fontinuaflron sheet for additio/ial comqnents.) Signature of certifying official/Title Deputy State Historic Preservation Officer Or State or Federal agency and bureau In my opinion, the property fj meets fj does not meet the National Register criteria. ( n See continuation sheet for additional comments.) Signature of certifying official/Title Date State or Federal agency and bureau y£ Signature of the Keeper ^entered in the National Register G See continuation sheet, n determined eligible for the National Register fj See continuation sheet fj determined not eligible for the National Register. [U removed from the National Register, n other, (explain:) |
