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Show OMBNo. 1024-0018 IMPS Form 10-900 (Rev. 8/86) Utah WordPerfect Format United States Department of the Interior National Park Service National Register of Historic Places Registration Form j , NATIONAL This form Is for use In nominating or requesting determinations of eligibility for Individual properties or districts. See Instructions In QwW»//n Forms (National Register Bulletin 16). Complete each Item by marking "x" In the appropriate box or by entering the requested information. Ran* mm dnot apply to the property being documented, enter "N/A" for "not applicable.' For functions, styles, materials, and areas of significance, enter only the categories and subcategorles listed In the Instructions. For additional space use continuation sheets (Form 10-900a). Type all entries. historic name Elberta Theatre other names/site___Capitol Theatre street & number____53 South Main Street city, town Brlqham City state Utah code UT N/A not for publication N/A vicinity_____ code 003 zip code 84302 county Box Elder Category of Property X building(s) _ district _ site _ structure _ object Name of related multiple property listing: Ownership of Property X private _ public-local _ public-State (_ public-Federal No. of Resources within Property contributing noncontributing _J_ __buildings __ __ sites __ __ __ structures __ objects 1 0. Total No. of contributing resources previously listed in the National Register 0 Historic Resources of Brlgham City As the designated authority under the National Historic Preservation Act of 1966, as amended, I hereby certify that this Jjjnomination _request for determination of eligibility meets the documentation standards for registering properties in the National Register of Historic Places and meets the procedural and professional requirements set forth in 36 CFR Part 60. In my opinion, the property J(_meets _does not meet the National Register criteria. See continuation sheet. Signature of certifying official Date Utah Division of State History. Office of Preservation State or Federal agency and bureau In my opinion, the property JUneets does not meet the National Register criteria. _ See continuation sheet. Signature of commenting or other official Date State or Federal agency and bureau 5- NationaT Park Service Gert I, hereby, certify that this property is: unentered in the National Register. _ See continuation sheet _ determined eligible for the National Register. _ See continuation sheet _ determined not eligible for the National Register _ removed from the National Register. _other, (explain:) __________ ignature of the Keeper Date of Action |
