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Show United States Department of the Interior National Park Service I National Register of Historic Places Registration Form NPS Form 10-900 OMB No. 1024-0018 Erekson Artillo Dairy Farmhouse Name of Property Salt Lake County. Utah County and State 11. Form Prepared By: Korral Broschinsky. Preservation Documentation Resource name/title: organization: prepared for the Murray City Preservation Advisory Board street & number: 4874 S. Taylors Park Drive state: Utah zip code: 84123 city or town: Taylorsville e-mail: kbro@kbropreservation.com telephone: ---=8'-=-0.. :. . 1-..,:9.. ,:.1.::..3-..,:5'-=-64.. .:.5"'--_ _ __ date: July 16. 2015 Property Owner information: (Complete this item at the request of the SHPO or FPO.) Arilyn M. & Leroy W. Jensen name: 5956 S. Ragsdale Drive address: city or town: Murray state: ---""U...,ta""h"'---_ __ zip code: 84121 telephone/email: _'-=-80:..1,:....-=26:..4,:....-...,:.4=.;23...,7'--_ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 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 100 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. Additional Documentation Submit the following items with the completed form: • Maps: A USGS map or equivalent (7.5 or 15 minute series) indicating the property's location. • Sketch map for historic districts and properties having large acreage or numerous resources. Key all photographs to this map. • Additional items: (Check with the SHPO, TPO, or FPO for any additional items.) Photographs Sections 9-11 page 17 |
