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Show OMS No. 702+0078 NPS Form 10-900 (Rev. 8/88) Utah WordPerfect 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. Sea Instructions In Guldallna.. for Complatlng National Raglstar Forms (National Register Bulletin 16). Complete each Hem by marking ' x' In the appropriate box or by entering the requested Information. ~ an Hem does not apply to the property being documented, enter 'N/A' for 'not applicable.' For functions, styles, materials, and are... of significance, enter only the categories and subcategories listed In the Instructions. For addHlonal spece use continuation sheeta (Form 10-9OOa). Type all entries. historic name other names/site Da 11 inHouse Dallin. Jane H. House; Dallin, CyrUS E., House 2l'titat'OiiieiUjri:tttitt:i~i:tti~i~i~itttt:t~it?i:tttttit??ttt?i:ttt?tttttttttttttttttttttt:~j:i:j:tti:tttj:titttj=j:ti~ti~ti:imtti:tttfti:ttjtt:ttittt:??tttttt?tt?t?ttl street &number city. town state 253 South 300 East Springville Utah code UT not for publication ~.:..v.:..::ic:..:.i:.:..ni!..:t:.L.Y_ _ __ code 049 zip code 84663 ~ county Utah B:ttmtie;Uijlijf:iaitjnin(:?it=t:=j~m:i~i:ti=mmi:j=:=:=ti:::i~m~::itj!t:::!mmtmmlt:=i=jt=tiHj=tl@ti:j:j:j::!it=ttitttitt::i=ti:ittt=imi:i!ttttitttt=?i=i:ittttt=t:t:it??j(!ittmttjtt=:j=ttj=tj?=tj=?j=tttt= Ownership of Property private publ ic-local _ public-State _ pub 1i c-F edera 1 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 listed in the National Register -0- ~ N/A 4jbtmmStjnli/FReii:m=j:j:Af.eni~rtCe#fi:f:ii:it=i:an:tttjmttjtlitt?tj=j:ttttm:?:mttttj:j:j:tj:jttt:ttt:j:j,tj,t::j,j:j:j:j:j,':j,tj:j:j:tt,j:tj'jltttjlj't'?:tt:{t:j{{{{'t{:'t: 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 Historic Places and meets the procedural and professional requirements set forth in 36 CFR Part 60. In my opinion, the property ~meets _does not meet the National Register criteria. See continuation sheet. Signature of certifying official 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. Signature of commenting or other offiCial See continuation sheet. Date State or Federal agency and bureau 5ltt:jnlil:ibriiil!tiPiifdtSif:v:iiiij:j:j:Cif:l!iifiiiitiitintljittmjmttj{{,j,tj{:j,jt:jtttttt,j:::jmj:j(:jmj:j:tttttj:ttj:tti:j,tm(:j:"tj:j:j::mi:tj:ttmt::~jmj:tjt:tmttlltWt,ttm 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 _ removed from the National Register. other, (exp la in:) _ _ _ _ _ _ __ Signature of the Keeper Date of Action |
