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Show NPS Form 10-900 OMB No. 10024-0018 (Oct. 1990) Utah MSWord 4.0 (Mac) Format (Revised Nov. 1995) 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 "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. FORD - RIGBY HOUSE 1. Name of Propertyhistoric name other names/site number 2. Locationstreet & number for publication city or town Centerville state Utah code 84014 code o 1592 North Main Street not o UT county vicinity Davis code 011 zip 3. State/Federal Agency Certification 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 0 nationally 0 statewide 0 locally. 0 See continuation sheet for additional comments.) Signature of certifying official/Title Date _____Utah Division of State History, Office of Historic Preservation____________ State of Federal agency and bureau |
