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Show .. - ANDREWS, SAMUEL, tJOUSE Mlpleton, Utah County '~;l() ~ ~ 1(1 UTAH STATE HISTORY 11111111111111111111111111111111111111111111111 II 111111111111111 3 9222 00576 0397 ' . • .. J.t • Researcher: t'. L. 7;t; oX Date: ? -2 "'-78 Site No. VT-2-2 Utah State Historical Society Historic Preservation Research Office Structure/Site Information Form 1z o Street Address: Plat <..> Name of Structur i= Present Owner: T. R. UTM: C Owner Address: Tax#: ~ ii: zw 2 Original Owner: w Original Use: :::J Present Use: oz o o o o (/) ..... Z o i= o <..> ..... w CJ cs: 3 (/) :::J S (/) 4 z o S z w :::i: :::J <..> o c Single-Family Multi-Family Public Commercial Construction Date: o Vacant o Religious o Other Integrity: o Site o Ruins o Unaltered o Minor Alterations o Major Alterations Preliminary Evaluation: • o o o Final Register Status: o National Landmark o National Register o State Register Significant Contributory Not Contributory Intrusion Photography: Date of Slides: Views: Front 0 Side 0 Rear 0 Other 0 0 District 0 Multi-Resource 0 Thematic Date of Photographs: JZ 5) J ; 2 Views: Front Side 0 Rear 0 Other 0 Research Sources: o o o o o o o Abstract of Title Plat Records Plat Map Tax Card & Photo Building Permit Sewer Permit Sanborn Maps o o o o o o o Bi bl iog raph ical References City Directories Biographical Encyclopedias Obituary Index County & City Histories Personal Interviews Newspapers Utah State Historical Society Library o o o o o o o Lot S. Demolition Date: Occupants: o Park o Industrial o Agricultural Building Condition: o Excellent • Good o Deteriorated 1t??PZ- BI. LDS Church Archives LDS Genealogical Society U of U Library BYU Library USU Library SLC Library Other (books, articles, records , interviews, old photographs and maps, etc.): C; 7 5 Architect/Builder: w Building Materials: ::l Description of physical appearance & significant architectural features: a: ~ U (Include additions, alterations, ancillary structures , and landscaping if applicable) w ~ J: u < a: 6 > a: o ~ (/) J: 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 Socio-Humanitarian Transportation UTA H HIS TOR I C CEIHURY REG I STER HOM E Survey Form ,ol:t-v14"kk<£i) CH 1. tlame of Home: 2. Address: ({,g o S-¢ 3. 4. ,. r _______ -*Jhis js not a binding, legal document. For Historic Sites Survey staff use only: 1. Date submitted: 2. By: 3. Date revi ewed by Committee: 4. Action taken: 5. Date proprietor notified: 6. Date marker attached to structure: It is a record only. stamp To: Mr : Melvin T. Smith Utah Preservation Officer Historic Sites Survey 603 East South Temple Salt Lake City , Utah 84102 |
