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Show Researcher: Date: Tom Carter 7-17-78 Site No. Utah State Historical Society Historic Preservation Research Office Structure/Site Information Form 1 -± IDENTIFICATION |^ AGE/CONDITON/USE Street Address: Name of Structure: Present Owner: Owner Address: rpnch hoine Original Owner: Larry Jensen Original Use: Present Use: dwelling D D D D Single-Family Multi-Family Public Commercial 3 V) i</) A BI. 7fi Lot T. R. !. s S. UTM: La Try M. .Tensftn Tax #• ldXfF ' Spring Citv. Utah Construction Date: 1973- 17401 Demolition Date: Occupants: D Park D Industrial D Agricultural Hr Vacant D Religious D Other Integrity: Building Condition: D Excellent a Good D Deteriorated Plat D Site D Ruins H Unaltered D Minor Alterations D Major Alterations Preliminary Evaluation Final Register Status: D D Hr D D National Landmark D National Register D State Register Significant Contributory Not Contributory Intrusion D District D Multi-Resource D Thematic Photography: 7.17.73 ^^ DOCUMENTATION Date of Slides: / Views: Front OB Side D Rear D Other D Date of Photographs: Views: Front D Side D Rear D Other D Research Sources: D Abstract of Title D Plat Records or^Plat Map D Tax Card & Photo D Building Permit D Sewer Permit D Sanborn Maps D D D D 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 D D IDS Church Archives LDS Genealogical Society U of U Library BYU Library USU Library SLC Library Other Bibliographical References (books, articles, records, interviews, old photographs and maps, etc.): "7 x* rv |
