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Show NFS Form 10-900 (Oct. 1990) Utah WordPerfect 5.1 Format (Revised Feb. 1993) 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 subcategories 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. 1. Name of Property historic name Gappmaver. Rov H. & Florence B.. House other names/site number _____ 2. Location street & number 95 East 1200 South N/A not for publication city or town Orem___________ state Utah code UT county. ____ Utah code 049 N/A vicinity zip code 84058-6968 3. State/Federal Agency Certification 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 considered significant _nationally _statewide JKJocally. (_ See continuation sheet for additional comments.) Signature of certifying official/Title Date/ 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. additional comments.) Signature of certifying official/Title State or Federal agency and bureau 4. National Park Service Certification I he/eby certify that this property is: p/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 See continuation sheet for |
