| OCR Text |
Show NPS Form 10-900 (Oct. 1990) Utah WordPerfect 5.1 Format (Rev. 2/93) OMB No. 10024-0018 United States Department of the Interior National Park Service National Register of Historic Places Registration Form This form is for use In nominating or requesting determinations of eligibility for Individual properties or districts. See Instructions In How to Complete the National Register of Historic Places Form (National Register Bulletin 16A). Complete each Item by marking "x" In the appropriate box or by entering the Information requested. If an Item does not apply to the property being documented, enter "N/A" for "not applicable." For functions, architectural classification, materials, and areas of significance, enter only categories and subcategorles from the Instructions. Place additional entries and narrative Items on continuation sheets (NPS Form 10-900a). Use a typewriter, word processor, or computer to complete all items. historic name Peterson/Burr House other names/site number street & number 190 West Main_______ city or town Salina_____________ state Utah code UT county Sevier code 041 N/A not for publication N/A vicinity zip code 84654____ As the designated authority under the National Historic Preservation Act, as amended, I hereby certify that this _X_nomination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 Part 60. In my opinion, the property _X_meets does not meet the National Register criteria. I recommend that this property be considerecTTignificant _nationally _statewide JMocally. (_ See continuation sheet for additional comments.) Signature of certifying official/Title // Date / r Utah Division of State History, Office of Historic Preservation State or Federal agency and bureau In my opinion, the property _meets _does not meet the National Register criteria. (_ continuation sheet for additional comments.) Signature of certifying official/Title See Date State or Federa1 agency and bureau 1 B^S1" <$n Signature of the KeH|S^on& Date of Action V 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:)__________________ |
