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Show Researcher: Date: Site No. Tom Carter Utah State Historical Society Historic Preservation Research Office Structure/Site Information Form ««*| IDENTIFICATION 2 Ul V) z o Street Address: Name of Structure: Present Owner: Owner Address: Original Owner: Original Use: Present Use: 5 [f/Single-Family D Multi-Family D Public D Commercial 0 Building Condition H Iui < Plat ABI. 58 Lot 2 T. R. S. UTM: Tax#: 17363 Harrison Mott House Reynold Q, Johnson Spring City, Utah Harrison Mott dwelling Construction Date: ' Demolition Date: 1910 Occupants: , ' { D Excellent ^*Good D Deteriorated D Park D Industrial D Agricultural D Vacant D Religious D Other Integrity: D Site D Ruins D Unaltered 5/1Minor Alterations D Major Alterations 3 Preliminary Evaluation: Final Register Status: w D DT D D D National Landmark D National Register D State Register 4 Photography: 1 o 1 Ui Z D U O Q Significant Contributory Not Contributory Intrusion Date of Slides: 7»14- 78 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 B^PIat Map irTax Card & Photo D Building Permit D Sewer Permit D Sanborn Maps D City Directories D Biographical Encyclopedias D Obituary Index D County & City Histories Or Personal Interviews D Newspapers v Utah State Historical Society Library D D D D D D D IDS Church Archives IDS Genealogical Society U of U Library BYU Library USD Library SLC Library Other Bibliographical References (books, articles, records, interviews, old photographs and maps, etc.) Interview with Virgil Mott, 7^15*78 v Cindy Rice Study Sheet., 3-11-74, Sanpete County Records, |