| OCR Text |
Show Utah State Historical Society Property Type: ij-* Site No.. Historic Preservation Research Office ? * T r H '•< r Y 1 8 fi '4 0 4 "*• q 4 n Structure/Site Information Form JAN 1 4 1980 1 Street Address: ? 0 37* 1- Name of Structure: z o IDENTIFIC/ Present Owner: Owner Address: FIFTH AV UTM: :£6fb T. 0 1 * D N I2^A£ R. C i . 0 C S. 31 3RO*?N*GEORG?>W* 1048 POLK LN SAN JOSE* CA 95117 Year Built (Tax Record): 1883 Effective Age: 1905 Tax#:cu 1133 Legal Description 01 Kind of Building: RESIDENCE ' 54 FT W PR SE COR LOT 1 BLK 75 PLAT D SLC SUR W 45 ^T to 7 PH £ 45 FT S 7 RB TO 2 UJ CO w 3 BEG Original Owner: Construction Date: Original Use: Present Use: Building Condition: Integrity: Preliminary Evaluation: Final Register Status: D Excellent O Site D Unaltered a Significant D National Landmark D District D Good D Ruins D Minor Alterations D Contributory D National Register D Multi-Resource a Major Alterations D Not Contributory Q State Register D Thematic Q Deteriorated 3 z O DOCUMENTA Demolition Date: Photography: Date of Slides: D Not of the Historic Period Slide No.: Date of Photographs: Photo No.: Views: D Front D Side D Rear D Other Views: D Front D Side D Rear D Other Research Sources: D Abstract of Title D SanbornMaps D Newspapers D U of U Library D Plat Records /Map D City Directories D Biographical Encyclopedias D Utah State Historical Society D Personal Interviews D BYU Library D USU Library D Obit urary Index D LDS Church Archives D SLC Library D County & City Histories D LDS Genealogical Society D Other D Tax Card & Photo Q Building Permit D Sewer Permit Bibliographical References (books, articles, records, interviews, old photographs and maps, etc.): Researcher: Date: |
