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Show Researcher: Date: Site No. Kathryn MacKay Utah State Historical Society Historic Preservation Research Office Struclure/Siie Information Form ""^ IDENTIFICATION Street Address: Plat A BI.69Lot 204 West Center, Provo Name of Structure: Present Owner: Beth Owner Address: P.O. •"- Original Use: Present Use: D n D xQ Construction Date: Single-Family Multi-Family Public Commercial D Excellent D Good Q'uetsriorated D CO Demolition Date: commercial Occupants; D Park a Industrial D Agricultural D Vacant D Religious D Other Granny's Kitchen Integrity: Building Condition: to 0 Site D Ruins D Unaltered D Minor Alterations fiMajor Alterations Preliminary Evaluation : Final Register Status: a Significant D Contributory C/Not Contributory D Intrusion D National Landmark D National Register D State Register Q District D Multi-Resource D Thematic Photography: ^ DOCUMENTATION Date of Slides: August 1977 Views: Front ET^Side D Rear D Other D Date of Photographs: Views: Front Q Side D Rear D Other D Research Sources: o Abstract of Title t$ Plat Records CB^Plat Map OKTax Card & Photo D Building Permit n Sewer Perm it CB^Sanborn Maps S. Tax#: Fs/~5 Box 17, Provo Original Owner: CSJ 3Sn/NOIHQNO /30V T. R. UTM: ,; ,kj-' ©-City Directories O Biographical Encyclopedias D Obituary Index S-tiounty & City Histories D Personal Interviews a Newspapers D Utah State Historical Society Library D LDS Church Archives D LDS Genealogical Society B"TJ of U Library B-'BYU 'Library D USU Library D SLC Library n Other Bibliographical References (books, articles, records, interviews, old photographs and maps, etc.)! Provo, A Story of, Miller, Moffitt, 1975. Sanborn maps, 1888-1925 Provo, Utah, Beck, 1949. |
