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Show ^ ? 7* s»» 0 w i- Utah State Historical Society Property Type: 1 Site No. Historic Preservation Research Office PATCH KtY 1« 04 C 452.37 Structure/Site Information Form 1z %jr»"* Street Address: ? o p Name of Structure: Si: Present Owner: | o E FIRST AV LARSEN*RUTH*P* & Owner Address: PETERSOM 14 UTM: 13574 13575 T. 01*0 N R. 01.0 -MTLVIN L Z S. 31 417 F ST SLC? UT Year Built (Tax Record): 19 04 Legal Description 841G3 Effective Age: 1916 01 Kind of Building: RESIDENCE Tax #: c 4 G 215 COM 5 RDS W PR SE COR LOT 1 BLK 20 PLAT D SLC SUR W 2.5 RDS N 7 ROS r 2.5 RDS S 7 RDS TO BEG 1 |O USE STATUS/ Original Owner: Construction Date: Original Use: Preset Use: Building Condition: Integrity: Preliminary Evaluation: Final Register Status: D Excellent D Good D Unaltered D Minor Alterations. D Significant D Contributory D National Landmark D National Register G District D Multi-Resource D Major Alterations D Not Contributory D State Register G Thematic D Site O Ruins D Deteriorated 3 z g K DOCUMENT4 Demolition Date: Photography: Date of Slides: Slide No.: Views: Q Front D Side D Rear D Other D Not of the Historic Period Date of Photographs: Photo No.: Views: D Front D Side a Rear n Other Research Sources: D Abstract of Title D Sanborn Maps D Newspapers D U of U Library D Plat Records/ Map D Tax Card & Photo D City Directories D Biographical Encyclopedias D USU Library D Building Permit D Sewer Permit D Obiturary Index D Utah State Historical Society D Personal Interviews D LDS Church Archives D County & City Histories D LDS Genealogical Society G Other C BYU Library D SLC Library Bibliographical References (books, articles, records, interviews, old photographs and maps, etc.): Researcher: Date: |