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Show OMBNo. 1024-0018 NFS Form 10-900 (Rev. 8/86) Utah WordPerfect Format United States Department of the Interior National Park Service NOV i 6 13& National Register of Historic Places Registration Form NATIONAL REGISTER This form Is for use in nominating or requesting determinations of eligibility for Individual properties or districts. See Instructions In Guidelines for Completing National Register Forms (National Register Bulletin 16). Complete each Item by marking "x" in the appropriate box or by entering the requested Information. If an Item does not 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 subcategories listed in the Instructions. For additional space use continuation sheets (Form 10-900a). Type all entries. other names/site Virginia House street & number 700 North Homestead Drive city, town Midway Utah state code UT county Wasatch ________________ _______ ___________________ Ownership of Property _X_ private __public-local _public-State _public-Federal Category of Property _X_ building(s) __district _site __structure _ object Name of related multiple property listing: N/A not for publication N/A vicinity______ code 051 ______ zip code 84049 No. of Resources within Property contributing noncontributing _1__ __buildings __ __sites __ __structures __ __ objects _1 _0 Total No. of contributing resources previously listed in the National Register ___0 N/A As the designated authority under the National Historic Preservation Act of 1966, as amended, I hereby certify that this X nomination 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 r}frt 60. In my opinion, the'property __X_meets _does not meet the National Register criteria. See continuation sheet. ___________ Signature of certifying' official Date Utah State Historical Society State or Federal agency and bureau In my opinion, the property _meets _does not meet the National Register criteria. __ See continuation sheet. Signature ofcommenting or other official State or Federal agency and bureau I, hereby, certify that this property is: i_____ entered 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:)__________ Date |
