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Show NPS Form 10·900 (Oct. 1990) Utah MSWord 4.0 (Mac) Format (Revised Nov. 1995) OMB No. 10024·0018 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 individual properties or districts. See instructions in How to Complete the National Register of Historic Places Form (National Register Bulletin 16A). Complete each item by marking "x" in the appropriate box or by entering the information requested. If an item does not apply to the property being documented, enter "NlA" for "not applicable." For functions, 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 10-900a). Use a typewriter, word processor, or computer to complete all items. 1. Name of Property historic name _ _----'c...R~E"""S~C...E~N;:..;T.........E...L...E~Mt..=E~N~T~AR~Y'__'=S'""'C""'H""O""O""L'___ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 2. Location street & number city or town state 1110 South State Street _'__'=S~a~n~d:!.ly'___ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _....::U:..::t:.!::a~h'--_ code _...::uc.::T_ _ county Salt Lake code 035 zip code o o not for publication vicinity 84 070 3. State/Federal Agency Certification As the designated authority under the National Historic Preservation Act, as amended, I hereby certify that this nominationl8l request for determination of eligibilityO 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 I8Imeets Odoes not meet the National Register criteria. I recommend that this property be considered significant Onationally Ostatewide I8Ilocally. (OSee continuation sheet for additional comments.) Signature of certifying officiallTitle Date State of Federal agency and bureau In my opinion, the property I8Imeets Odoes not meet the National register criteria. (OSee continuation sheet for additional comments.) Signature of certifying officiallTitle Date State or federal agency and bureau 4. National Park Service Certification I hereby certify that this property is: o entered in the National Register. o See continuation sheet. o determined eligible for the National Register. o See continuation sheet. o determined not eligible for the National Register. o removed from the National Register. o other, (explain:) Signature of the Keeper Date of Action |
