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Show Researcher: Tom Carter 6/24/78 Date: SiteNo.__IZ£ Utah State Historical Society Historic Preservation Research Office Structure/Site Information Form 1§ § p 9 Street Address: Name of Structure: Present Owner: Owner Address: ^ Original Owner: u | Original Use: Present Use: O t § O D D D a g Building Condition: < D Excellent B^Good D Deteriorated Q PlatA Bl. 13 tot 3 log hog house Mrs. Roy Black Spring city, Utah T. R. UTM: Tax #: Construction Date: (§1920 Demolition Date: hoe house Occupants: Single-Family Multi-Family Public Commercial D Park D Industrial c Agricultural B^Vacant a Religious D Other Integrity: D Site D Ruins D Unaltered D Minor Alterations D Major Alterations Preliminary Evaluation: Final Register Status: ;£ ~> . < D Significant tf Contributory D Not Contributory D National Landmark D National Register D State Register w D Intrusion A Photography: 2 O Views: Front D Side &r\Rear D Other D ------------------------------------- 2 g 3 O D D Abstract of Title D Plat Records Q/PlatMap D Tax Card & Photo D Building Permit D Sewer Permit D Sanborn Maps Date of Slides: 5 S. 6/24/78 D District D Multi-Resource D Thematic Date of Photographs: Views: Front D Side D Rear D Other D Research Sources: D D D a D D D City Directories Biographical Encyclopedias Obituary Index County & City Histories Personal Interviews Newspapers Utah State Historical Society Library D D D D D LDS Church Archives LDS Genealogical Society U of U Library BYU Library USU Library D SLC Library D Other Bibliographical References (books, articles, records, interviews, old photographs and maps, etc.): ^^^\~T\jF)~^ - C^y /•fv AV H \r\ \>-\ RECEIVED v -r/\ A Yl\ SEP2J.y/9"t NATIONAL REGISTER £j .£?/ |