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Show OMB No. 1024-0018 NPS Form 10-900 (Rev. 10-90) 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 for individual properties and districts. See instructions in How to Complete the National Register of Historic Places Regi stration Form (National Register Bulletin 16A). Complete each item by marking "x" in the appropriate box or by entering the information requested. If any item does not apply to the property being documented, enter "N/ A" for "not applicable." For function s, architectural classification, materials, and areas of significance, enter only categories and subcategories from the instructions. Place additional entries and narrative items on continuation sheets (NPS Form IO-900a). Use a typewriter, word processor, or computer, to complete all items. 1. Name of Property historic name SARAH DAFT HOME FOR THE AGED. other names/site number 2. Location street & number city or town state 3. ----------------------------- UTAH 737 SOUTH 1300 EAST SALT LAKE CITY code _ not for publication N/A vicinity N/A county _U~SA,-=--_ _ _ code ~ zip code 84102 State/Federal Agency Certification As the designated authority under the National Historic Preservation Act of 1986, as amended, I hereby certify that this _ _ nomination _ _ request for determination of eligibility meets the documentation standards for registering properties in the National 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. I recommend that this property be considered significant _ nationally _ statewide _locally. ( _ See continuation sheet for additional comments.) Signature of certifying official State or Federal agency and bureau Date |
