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Show Fo!~.' No. lc.;.:>OO REV. 19/771 UNITEDSTATES DEPARTMENTOFTHE INTERIOR FOR NPS USE ONLY ,'\k.' NATIONA,L PARK SERVICE C~t8~~;~'~ ~~l~,',.~; ;o;{;:({;~J~sit~T;' , RE NATIONAL REGISTER OF HISTORIC PLACES INVENTORY -- NOMINA nON FORM o NAME HISTORIC ..:;, . .... OA TEEN~.!!.EO_·_"_' ---.--;..-..-.-~..;..-..........:....s '- , seE INSTRUCTIONS IN HOWTO COMPLETENAi/o7i'Ai'REG/STER FORMS TYPE ALL ENTRI ES --..COMPLETE Ap r~...,.~..., E... S_E.;;; C.;..TI_O_N.;.;;S;;...",._ _ .. ,......_.,_ " " . _ _ John W. and .... ,~¢t1"e ;a nd May --~~~::":":,:~-:---- ANDIOR COM.MON r ' ::'.- -; " Rich Taylor Home ",-,-~ ~ -- - DeVoy and Donna Rue Mortensen Home 'Ct BLOCATION STREET & NUMBER 49 East 5th North .' CJTY. TOWN Farmington ,_ _ -=-NOT FOR PUBliCAnON , CONGRESSIONAL DISTRICT _ VICINITY OF O~ COUNTY CODE Davis DCLASSIFICATION CATEGORY OWNERSHIP STATUS PRESENTUSH _DISTRICT -PUBUC ~OCCUPIED --AGRICULTURr _BUILDING(S} X-PRIVATE _UNOCCUPIE D _COMMERCIAL _PARK -XsTRUCiURE _BOTH _WORK IN PROGR ESS _EDuCATIONAL x...PRIVATE !rESIDENCe: _ENTERTAINMENT _REUGIOUS ' PUBLIC ACQUISITION _SITE _OBJECT ACCESS!B l E __MUSEUM -1NPROCESS ..xYES: RESTRICTeO _GOVERNMENT ':"SCJENlIFiC _BEING CONSIDERED _ YES : UNRESTRICTED -1NDUSTRIAL ._,T RANSI'(lfU AnOfil _NO _MILITARY ..... . "t t _OTHER: a_= DOWNER OF PROPERTY NAME DeVoy Lynn Mortensen and J»nna Rue K. Nortensen ----------~~~----------------------------------------------------.----------~-~ STREET & NUMBER 49 East 5th North - - - - - - - - - - - - - ---------------'~ST~A~T~ E --------*·-·------- CJTY. TOWN Farmington _ VICINIT"f OF 'i!LOGATiON OF LEGAL DESCRIPTION' COURTHOUSE. REGISTRY OF DEEDS, ETC. Davis County Recorder--County Bouilding STREET & NUMBER Southeast corner of Main and State Street CITY. TOWN STATE ------~~----------------------------------------------------~~--------,-----,-.--- _________ ' _v_ ' _________________- *_ _ _ _ _ _ _ _ _ _ Farmington mREPRESENTAnON IN EXISTING SURVEYS ~~ ~ Utah ~~_ __ __ ~ . _ ..~ _ _ _ _ _ _ _ _ _ __ _ _ __ _ p ____ ,,_ ~$~~ _ TiTLE None OATE -------------------------.~-----------------------------FEDERAl. _ STATE ---~~~-------------------------- DEPOSITORY FOR SURVEY R~CORDS Cln' . TOWN .- - _COUNTY -LOCAL STATE ---_._-'---- |
