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This text message is used to keep the image from rotating in ocr process. Be sure to crop the top .25" off after the ocr process. 1010W 500 NORTH SALT LAKE CITY, SALT LAKE COUNTY SLC NORTHWEST HISTORIC DISTRICT UTAH STATE HISTORY 1111111111111111111111111111111111111111111111111111111111111111 3 9222 00589 3412 HISTORIC SITE FORM (UHCS version) Utah State Historic Preservation Office UHCS 10#: 250238 1. Identification Plat: C Block: 89 Site#: Property Name: Address: 1010 W 500 NORTH City: SALT LAKE CITY County: SALT LAKE COUNTY 2. Documentation/Status Dates Surveyed or Added to SHPO Filing System: General/Miscellaneous File: Reconnaissance Level Survey: 021 91 Intensive Level Survey: Evaluation: (A) ELIGIBLE/SIGNIFICANT National Register Status: SLC NORTHWEST HISTORIC DISTRICT National Register Listing Date: 3/29/01 Delisted date: Thematic or Multiple Property Affiliation: 3. Building Information Date(s) of Construction: c.1905 Height (# stories) : Original Use: SINGLE DWELLING PlanlType: CROSSWING Constr. Material(s): SHINGLE SIDING REGULAR BRICK Architectural Style(s): QUEEN ANNE VICTORIAN ECLECTIC 1.5 Theme(s) : Architect: Outbuildings: (non-contrib./ contrib.) Comments: 0/1 4. Other SHPO File Information State Tax Project No. (s): 106 Case No. : Federal Tax Project No. : Historic Photo Date: Devel. Grant(s): HABS/HAER Record No. (s) : Printout Date: 4/9/01