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Show OMS No. 1024-0018 N~s Form 10-900 (Rev. 8/86) Utah WordPerfec1 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 IndMduai properties or districts. See Instructions In Guidelines for Completing National Reglstll' Forms (National Register Bulletin 16). Complete each Hem by marl<lng ' x' In the appropMate 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, mateMals, and areas of significance, enter only the categoMes and subcategoMes listed In the Instructions. For addHlonai space use continuation sheets (Form 10-BOOa). Type all entMes. historic name other names/site street &number city, town state Da 11 inHouse Dallin. Thomas and Jane H., House 253 South 300 East Springvi lle Utah code UT not for publication ~ . :,.v.:.,:ic:..,:i..:.,:n..:.it""Y'--____ code 049 zip code 84663 ~ county Utah B.M}:mmlnj:s:S:i:f~itiif:id.ri:}:::::::m}}:::::r~:r~}:~:~})}:~:m}mrrr::::::::rr~:rrrrr~:m:m:m::)})t))t:~t:~t::t)mm))t:mtt/:(~:::::::~:t~:~t:::~/:{::::::rm)tmr(mtt:~tttt:~:~::}tt/t:::~}:~tt}tt}}::/t/t}}: 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_ buildings sites structures __ objects _1_ Total _1 No. of contributing resources previously -0listed in the National Register ~ N/A 4:~}:~}}S.fifel'FedilNtl(:\,gerifY::::::Eeltt:ii:fabif:id.rir{r:}t:::~:r~:~:::::::tt::::\:::{~:~:~t\:~:r::~:::~t:{;::::::(::::::::::::~:r:::)}:::t:::::::::):l~t::::::::::::ttt)))t::tt)))t:::::::tt{ttt)))) As the designated authority under the National Historic Preservation Act of 1966, as amended, I hereby certify that nomination request for determination of eligibility meets the documentation standards for registering this properties in the NatlOnal 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 Sl{r{:Haf:idnin:::::::Pirlt:{:Si'riSi:b~e:::mi'rif:U~::U:jt:ih!)rir:t~~:~:{:::}:::::::::{:::}::::::~~:::~::::::}tttt}t:::~:t:~t:::::::::::::::::::rr::~:))::::::::::::::)):::::(::~::::::)::::)):llll::::::::::::::::):ll))))))):: 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, (explain:) _ _ _ _ _ _ __ Signature of the Keeper Date of Action |
