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Show "--~ HO~US~E~~t'f= 5'N.-300~ :: f.J.). ~ LEE , JOHN ~t~ Comty - Mapleton, Researcher: E. L. Date: ? -.:2.5= 7 Y 7 "..x Site No. t/ T .:zz os- Utah State Historical Society Historic Preservation Research Office Structure/Site Information Form 1z o Street Address: Plat () Name of Structure: T. i= ~. u:: z w o Present Owner: UTM: Owner Address: Tax#: 2 Original Owner: W In ::J ...... Z o i= o z o () iii CJ c( 4 o o o o w :E ::J () o o Single-Family Multi-Family Public Commercial Construction Date: / r • Excellent o Good o Deteriorated o Vacant o Religious o Other Integrity: o Site o Ruins o Unaltered • Minor Alterations o Major Alterations Final Register Status: o o o o o National Landmark o National Register o State Register Significant Contributory Not Contributory Intrusion 0 District 0 Multi-Resource 0 Thematic Photography: Date of Slides: Views: Front 0 Side 0 Rear 0 Other 0 Date of Photographs : Views: Front 0 Side 0 Rear 0 Other 0 Research Sources: Abstract of Title Plat Records Plat Map Tax Card & Photo Building Permit Sewer Perm it Sanborn Maps o o o o o o o Bibliographical References City Directories Biographical Encyclopedias Obituary Index . County & City Histori es Personal Interviews Newspapers Utah State Historical Soc iety library o o o o o o o Lot S. ?/?- ?/Demolition Date: Preliminary Evaluation: o o o o o o o R. Occupants: o Park o Industrial o Agricultural Building Condition: z S z Lc£ .original Use: Present Use: , o v.I!. BI. LOS Church Archives LOS Genealogical Society U of U library BYU library USU Library SLC Library Other (books, articles, records, interviews, old photographs and maps , etc.) : 5 w a: ::l ~ ow Architect/Builder: Building Type/Style: Building Materials: Description of physical appearance & significant architectural features: (Include additions. alterations. ancillary structures. and landscaping If applicable) !:: :I: o a: '" 6 >a: o ~ III :I: Statement of Historical Significance: o o o o o Aboriginal Americans Agriculture Architecture The Arts Commerce o o o o o Communication Conservation Education Exploration/Settlement Industry o o o o o Military Mining Minority Groups Political Recreation o o o o Religion SCience Soclo-Humanitarian Transportation UTA H HIS TOR I C CEIHURY REG I STER HOM E Survey Form ~ /I ~ I. flame of 110me: 2. Address: 3. Date of construction: _..LI:....j 2.....,9~ ' O:......:... ---'.r :..,jZ L-_______________ 4. Bui lder: 5. Owner (5): 6. Description of Home (materials used in construction, present cond ~ion . alterations and use): J~ I~ ,t;.~9k-t-ef' t~~-~ (/ ,- r2 9~ \31) 0 ~ ~I~ :"=,:,--!-,,,:, 7f:.tJw Ii ~ _~___ 'j 6-1~ ~ ~'l'eL- AL~M' -- --,?:t;~ __ 7. _ _ _ _ _ _ _ _ _ _ _ __ Responsible Proprietor: . if-.. J."i'k ~ d'<v.44"~ tC:~& ~, ~w i-~ k7g~#- __ ____*.T..bl s__ is not a binding, legal document. For Historic Sites Survey staff use only : 1. Date submitted: 2. By: 3. Date reviewed by Committee: 4. Action taken : 5. Date proprietor notified: 6. Date marker attached to str uctur e: --------------------._ - --- - a A~oT It is a record only. I ~. t. ~t' " 1'£;7 ,; . To: .jJ . stamp Mr. Melvin T. Smith Utah Preservation Officer Historic Sites Survey 603 East South Temple Salt Lake City, Utah 84102 ~ t' 7Y?-7~ r/"Y(!'}~h -:!? "~ /. I~)~ l;r']~~r?z..; -D I 7?7J!r ~K'y-n-o npjj ~1(~ "1'/"" , ' r / -r ---J ).-- ( .t!j ·~?/1-n~ ~~/ ~a (I • J~ ~ I ~~r(1'Z//~;6~ pn~~/;C .~)??~ //~y);~' ~7~pt?l/(y-rr7:7 ! lJ)?7UL..?~ ;h'r7l- ~L.- /U~n-;t~~7 7)-y7U7J7i!.,. , ~ .~) ~ |
