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Show NPS Form 10-900 (Oct. 1990) 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 for individual properties and districts. See instructions in How to Complete the National Register of Historic Places Registration 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 "N/A" 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 Wales Co-operative Mercantile Instutution other name/site number Wales Commercial Mercantile 2. Location street & town city or town state Utah o not for publication o vicinity 150 North State Street Wales code UT county Sanpete code 039 zip code 84667 3. State/Federal Agency Certification As the designated authority under the National Historic Preservation Act. as amended. I hereby certify that this 0 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 [8:1 meets 0 does not meet the National Register criteria . I recommend that this property be considered significant nationally statewide [8:1 locall. 0 S continuation sheet for additional comments .) o o Utah Division of State History, Office of Historic Preservation State or Federal agency and bureau In my opinion. the property comments.) 0 meets 0 does not meet the National Register criteria. ( Signature of certifying officialfTitie 0 See continuation sheet for additional Date State or Federal agency and bureau 4. National Park Service Certification I hereby certify that the 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 |
