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Show OMS No. 1024-0018 NPS Form 10-900 (Rev. 8/86) utah WordP"rfect Format 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 IndMdual properties or districts. See Instruction. In GuldtJllnn for Completing National Register Forms (National Register Bulletin 16). Complete each "em by maridng '.' In the appropriate box or by entering the requested Information. If an "em does not apply to the property being documented, enter 'N/A' for 'not applicable.' For functions, slyle., materials, and areas of algnlf1eance, enter only the categories and subcategories listed In the Instructions. For addltlonal space use continuation sheets (Form 10-000a). Type all entries. historic name other names/site street &number city, town state Da 11 inHouse Dallin, Thomas and Jane, House 253 South 300 East Springville Utah code UT ~ ~ county Utah code 049 not for publication ,:.v.:,;ic"-'i""n""it.:,.y'--____ zip code 84663 3$lMrejI'B§i:f1IUt:niH~:@Mlil::mWr:f~:mt:nm@~:~:~:Fl:::~i:Mn:;:t:l~:::~@Hrtmm::tm:n:nml@t:~:nrr:::ttltnMtlt:::r~::ttmlIlrlrtrr::n:?~:::I~fn::::::r;:r~:rr?::(l: Ownership of Property ~ private _ public-local public-State _ public-Federal Category of Property ~ building(s) district site structure _ object Name of related multiple property listing: No. of Resources within Property contributing noncontributing _1_ __1_ bui ldings sites structures __ objects _1_ Total _1 No. of contributing resources previously -0listed in the National Register N/A 4WiMStile/EReii~lmA§~riijy.FIIWf':f1:t~it:iIH;:~:~::mtt:~::::::::::ttl:mt:~:~:;~i;::tt::jt::t¥t:~:tt:tMttt@tlIInMmi:IWf:~t:::tt::tf~:~::::::t;;f)):::~t:;::rr;::~: As the designated authority under the National Historic Preservation Act of 1966, as amended, I hereby certify that this X nomination request for determination of eligibility meets the documentation standards for registering properties in the NatTOnal Register of Histori Places and meets the procedural and professional requirements set forth in 36 CFR P rt 60. In ~ opinio the operty X meets does not meet the National Register criteria. See continuation sheet .] )7)QY Datr 7 - Utah Division of State History, Office of Historic Preservation State or Feaeral agency ana bureau In ~ opinion, the property _meets _does not meet the National Register criteria. Signature of commenting or other official See continuation sheet Date State or Federal agency ana bureau 5tWtHifiarii¥ili.Msm£i:e4fMlif£l$itiit~itiH¥tH:::~:~!trMmtt:kNf%Mtt:MrtrtmmHtnm::mn@nr;;::Ir;ltmit;;;:~:t:{:t::;:;:t;:;;::~;:::H;l I, hereby, certify that this property is: _ entered in the National Register. See continuation sheet _ determined eligible for the National Register. See continuation sheet _ determined not eligible for the National Register _ _ Date Usted 3 / "3 l / removed from the Nationa·l Register. other, (e!<p la in!) _ _ _ _ _ _ _ __ Signature of the Keeper Date of Action |
