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Show United States Department of the Interior National Park Service / National Register of Historic Places Registration Form NPS Form 10-900 (Expires 5/31/2012) OMS No. 1024-0018 Green-Rasmussen-Beck House Salt Lake County, Utah Name of Property County and State Photographs: Submit clear and descriptive photographs. The size of each image must be 1600x1200 pixels at 300 ppi (pixels per inch) or larger. Key all photographs to the sketch map. Final photographs will be selected by the Utah SHPO. Name of Property: Green-Rasmussen-Beck House Address: 12542 S. 900 East City or Vicinity: Draper County: Salt Lake Photographer: Korral Broschinsky Date Photographed : August 2011 State: Utah Description of Photograph(s) and number: 1of_ Property Owner: (Complete this item at the request of the SHPO or FPO.) name Bill & Shannon Moedl street & number 12542 S. 900 East telephone city or town Draper state 801-571-4708 Utah zip code 84020 Paperwork Reduction Act Statement: This information is being collected for applications to the National Register of Historic Places to nominate properties for listing or determine eligibility for listing , to list properties, and to amend existing listings. Response to this request is required to obtain a benefit in accordance with the National Historic Preservation Act, as amended (16 U.S.C.460 et seq .). Estimated Burden Statement: Public reporting burden for this form is estimated to average 18 hours per response including time for reviewing instructions , gathering and maintaining data , and completing and reviewing the form. Direct comments regarding this burden estimate or any aspect of this form to the Office of Planning and Performance Management. U.S. Dept. of the Interior, 1849 C. Street, NW, Washington , DC. 14 |
