| OCR Text |
Show Ft<R - ~300 (11-78) . United Stales Depar'.tmeni of the Dnterior }~eritage Conservation and R;ecrealion Service rr~a~~~Jona; Regisier of Histolic 3in! erlf~orr)J-IT\a'om irnat~on Form .,. Places See instructions in How to Complete National Register Forms Type all entries--complete applicable sections 1. t-.aame . , and/orcommon IV street & number _ city, town state .~ Calegory q"nership -A-public ._ private _ ._both Public Acquisition _ i n process _ . being considered vicinity of rJ 41 . , code 3. Classifica.i aon _district V building(s) _structure _site _object ,. _ not for publication 0 congressional district county Sx tus occupied _. _ unoccupied _ work in progress . Accessible yes: restricted yes: unrestricted _no X code Present Use _ agriculture _ comm ercial _ educational _ entertainment government _ industrial __ military .&4;1 ·· _museum _park .' -' _ private residence _religiQus _ . scienti'i L~ _ transportation _other: -X- 4.. Owner O'f Property street & number _ city, town courthouse, registry of deeds, etc. vicinity of state ~~. !2P U~ street & nUl'flber i; ~ i/iIi4?u ~ state city, town title date ~ has this property been determined elegible? . _ ~Jv tC, 1'0 depository for survey records city, town _ federal ~tate _ _ no county .--===~ V S~' .s state yes ~, |
