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Show 9. Major Bibliographical References 10. Geographical Data r~. ~&% Acreage of nomlnated .- P1 Quadrangle name ";;:!!/ittL. UMT References . . N~ __ . Quadrangle scale BW II, I lliZJ ViI2dI1,z,01 j(bGl /,2IfSt9 ,QI A . Zone Eastlng cLU I I I ,. ( r I ,I LUI I , I I GW I I I I I I I , I NLA I NM ~ I I , fa......o--I............--........ I~·J...I~............ F LtJ HW I II ali I ,Northing " I Easting · oW I 1'1 E state Zone Northing /: z~ I I code county . code ~ ~~ code 11. F'ormPrepared By 1/.s/f5 ·· organization .~.--- -. . date . ·telephone street & number city or town state 12. State Historic Preserva"a:ionOfficer. 'Celrt5fica~ion -. . The evaluated significance of this property within the state Is: _ national J( state ~~ _ rocal As the designated State Historic Preservation Officer for the National Historic Preservation Act of 1966 (Public Law 89665). I hereby nominate this property for Inclusion in the National Register rind certify that It has been evaluated according to the criteria and procedures set forth by the Heritage Conservation and Recteation Service. State Historic Preservation Officer signature title date For HCRS use only . _ ."~ ·Y:. , hereby certify that this property is included in the Natio~al Registe.r _ . . . ... . .-. -. ", - . ~ . • .. , date Keeper of the National Register Attest: :- ,.'; ' date .• . ," . .. r.,> :..... . . • " ~ '.OP. . (. , : • .:: ' t _ ' .- " • |