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Show NPS Form 10·900 (Oct. 1990) Utah WordPertec1 5.1 Fonnal (Revised Feb. 1993) 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 propenies 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 propeny 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 _-IT..Jo:a~Y.l.llIQ'-!..r...:,JLlQ'-!.h.:..:..nl-W~"....:JO!.!a~n.l.lle::.l.t~(wN~e..utt.!.!oie~)...l=a~n~dwM.!.!l:!.ay~R.!.!.:ic:!.!.h.!.l.'.l.H.:..:.Q!..!ou!.>=s~e,--_ _ _ _ _ _ _ _ _ _ _ __ other names/site number _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 2~Locatiol1 street & number 49 East 500 North N/A not for publication m"'in""'gt""o...n.:..--_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ city or town _---:F.....a....r.... state Utah code -:,:U..:..T__ county _---=D~a~v.l>iis!.....-_ _ _ _ _ __ N/A viCinity code _ _-,0,,-1w1,--_ zip code 84025 3~State/FederatAgencYcertlflCation 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 JLmeets _does not meet the National Register criteria. I recommend that this property be considered Significant _nationally _statewide Xlocally. (_ See continuation sheet for "?ill':Off::;;:2.-0ato nJS;gnature of certifying Utah Division of State Historv, Office of Historic Preservation State or Federal a enc and bureau In my opinion, the property _meets _does not meet the National Register criteria, additional comments.) Signature of certifying officiallTitle L See continuation sheet for Date State or Federal a enc and bureau 4. National Park Service Cel'tificaHon I hereby certify that this property is: _ entered in the National Register. See continuation sheet. _ determined eligible for the National Register. See continuation sheet. _ determined not eligible for the National Register. _ removed from the National Register. _ other, (explain:) _ _ _ _ __ Signature of the Keeper Date of Action Date Uated I 0 j':Y:Y r=t, 7 |
