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Show NPS Form 10-900 (Oct. 1990) OMB No. 10024-0018 United States Department of the Interior National Park Service RECEIVED 2280 National Register of Historic Places Registration Form JAN 8 2008 L ~.1lig&f~@J~~1~ ·--ll§I ~· p~nCES tterr.r.:t>tm~lhl ~- he-appropriate This form is for use in nom inating or requesting determinations for individual properties H to Complete the National Register of Historic Places Registration Form (National Register Bulletin 16A). Com plete each box or by entering the information req uested. If an item does not apply to the property being documented , enter "t<:rn'\""ro;:o:r1cit applicable." For functions , architectural classification, materials, and areas of significance, enter only categories and subcategories from the instructions . Place additional entries and narrative items on continuation sheets (NPS Form 10-900a). Use a typewriter, word processor, or computer, to complete all items. 1. Name of Properfy. historic name -~M~u=i"r"'"'"H.._o~u~s~e~--------------------------------other name/site number -""'"M~ u ""' ir._ , ;M . ; .=a"""r.._y._,H'-'-=-o=u=se=;'--"M""u=i"r-',._W : . . :. .a: ""'lt=-=ec:r-= . . &"-'-'M=a:.r..,. :. g= a'-' re:;. t""", ;: "--H=o=u=s-=e_._;---'-'M-"u=i~ r ·-=J=a=n.:.e: :. i•. . H :. . :.o ;::..:u::..:s:;.e ;:=----- - - 2. Location street & town city or town Utah state 3. D not for publication 145 S. Main Street D Mendon code - -UT- - - - - cou nty Cache code 005 vicinity zip code 84325 State/Federal Agency Certification · Signature o certlfylng officialfTitle Date " Utah Division of State History. Office of Historic Preservation State or Federal agency and bureau In my opinion, the property comments.) 0 meets D does not meet the National Register criteria. ( Signature of certifying officialfTitle 0 See continuation sheet for additional Date State or Federal agency and bureau 4. National Park Service Certification I hereby certify that the property is : 0 0 0 0 0 entered in the National Register. 0 See continuation sheet. determined eligible for the National Register 0 See continuation sheet. determined not eligible for the National Register. removed from the National Register. other, (explain:) - - - -- - Signature of the Keeper Date of Action |
