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Show Researcher: Tom Carter Date: 6 / 26 / 78 Site No. Utah State Historical Society Historic Preservation Research Office Structure/Site Information Form 1 § § p Z o Street Address: Name of Structure: bungalow Present Owner: Martha W. Gwin -----------:---------------- Owner Address: sDr ine citv. Utah 2 Original Owner: uj | Original Use: Present Use: O t § O (a D D D 8 Building Condition: Plat A Bl. i^Lot 2-5 T. R. S. UTM: • Construction Date: Tax#: Demolition Date: 01940 house Occupants: Single-Family Multi-Family Public Commercial D Park D Industrial D Agricultural D Vacant D Religious D Other Integrity: D Site D Ruins D Excellent B^Good D Deteriorated (^Unaltered D Minor Alterations D Major Alterations O Preliminary Evaluation: Final Register Status: w •3 • < w D Significant D Contributory Sf'Not Contributory D Intrusion D National Landmark D National Register D State Register 4 Photography: 6/26/78 Z O Date of Slides: • Views: Front D Side D Rear D Other ---------------------------D-- • ---- - -- g Research Sources: Z jg D O O D Abstract of Title CBf^Plat Records S' Plat Map E Tax Card & Photo D Building Permit D Sewer Permit D Sanborn Maps D D D D D D D Bibliographical References D District D Multi-Resource D Thematic Date of Photographs: Views: D Side--- D Rear D Other D ------ - -- Front - ------ --------------------------- City Directories Biographical Encyclopedias Obituary Index County & City Histories Personal Interviews Newspapers Utah State Historical Society Library . D LDS Church Archives D LDS Genealogical Society DU of U Library D BYU Library D USU Library D SLC Library D Other (books, articles, records, interviews, old photographs and maps, etc.) : x^TDSTT^x ^"^Y <o\ /\ \^ £y & ^ RECEIVED XX Yg\ SEP2J ,>79 > h^ N \TA \A NATIONAL REGISTER Cj A7 |