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Show NPS Form 10-900 (Oct. 1990) Utah WordPerfect 5.1 Format (Revised Feb. 1993) 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 propertie s or districts. See instructi o:1s In How to Complete the National Register of Historic Places Form (National Register Bulletin 16A). Complete each item by marking 'K' in the appropriate bOK or by entering the Information requested . If an item does not apply to the property being documented . enter aN/A- for -not applicable." For functions, a rchitectural classification, materials, and areas of significance, enter only categories and subcategories from the instructions, Place additional entries and narrative items on continuation sheets (N PS Form 10·9008). Use a typewrit er, word processo r, or computer to com plete all items. 1. Name of Property historic name Harbertson Home other nameS/Site number __~W~e~b~e~r~B~a~s~i~n~C~iv~i~l~i~a~n_C~o~n~s~e~r~va~t~i~o~n~Ce~n~t~e~r~,~B~ld~g~.~2~5~,_'~'R~o~c~k~Ho~u~s~e~'_'_______________ 2. Location street & number RFD #6 - Approx. 1.25 miles southeast of Hwy. 89 &84 Intersection ~ not for publication city or town ____--=Sc.::o""'u.;:;th"-'W.:.-:e:;:bc.::e~r_____________________________________________ __x_ vic i n i ty state Utah code ~ county Da·J~s code 011 zip code __8=-4.:. . 4:. .:;0.;:;5_ ___ 3. State/Federal Agency Certification As the designated authority under the National Historic Preservation Act, 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 add i tiona 1 comments.) --------- Signature of certifying official/Title Date State or Federal agency and bureau In my opinion, the continuation sheet not meet the National Register criteria. Signature of Date (___ See 1(.; .- Utah Division of State History, Office of Historic Preservation State or Federal agency and bureau 4. National Park Service Certification I hereby certify that this property is: ___ entered in the National Register. See continuation sheet. determined eligible for the National Registe·r . --See continuation sheet. ___ determined not eligible for the National Register. removed from the National Register. ___ other, (exp lain:) _____________ Signature of the Keeper Date of Action |
