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Show Site No. _I11 Researcher: Tom Carter 7-7-78 Date: Utah State Historical Society Historic Preservation Research Office Structure/Site Information Form ""^M IDENTIFCATION Street Address: Name of Structure: Present Owner: Owner Address: Main Street Plat A Bl.sa Lot 4 Chevron Station T. Kent C. Thompson UTM: Ephriam,~Utah Original Owner: |\J AGE/CONDITON/USE Occupants: D Park O Industrial D Agricultural D Excellent B^Good D Deteriorated 3 D Site D Ruins D Unaltered B^inor Alterations D Major Alterations Preliminary Evaluation: Final Register Status: D D Or D D National Landmark D National Register D State Register Significant Contributory Not Contributory Intrusion 4 2 n D Vacant D Religious D Other Integrity: Building Condition 3 I</> Demolition Date: gas station D Single-Family D Multi-Family D Public [^Commercial /**" 1 ~~ 1 O Views: Front D Side D Rear D Other D D District D Multi-Resource D Thematic Date of Photographs: Views: Front D Side D Rear D Other D Research Sources: D Abstract of Title D Plat Records l^Plat Map C/Tax Card & Photo D Building Permit D Sewer Permit D Sanborn Maps D D D D D D D S. Tax #: 84627 Construction Date: (§1960 Original Use: Present Use: R. City Directories Biographical Encyclopedias Obituary Index County & City Histories Personal Interviews Newspapers Utah State Historical Society Library D D O D D D D LDS Church Archives LDS Genealogical Society U of U Library BYU Library USD Library SLC Library Other Bibliographical References (books, articles, records, interviews, old photographs and maps, etc.): |