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Show Researcher: Date: Tom Carter 6/12/78 Site No. Utah State Historical Society Historic Preservation Research Office Structure/Site Information Form """M IDENTIFICATION Street Address: Name of Structure: Present Owner: Hannah Jensen Owner Address: BOX 41 Spring City, Utah -Original Owner: |^ AGE/CONDITON/USE Original Use: Present Use: D D D D Construction Date: c. 1920 Single-Family Multi-Family Public Commercial D Excellent D Good Or Deteriorated tO I V) Lot T. R. UTM: Tax#: S. Demolition Date: b*r n Occupants: D Park • D Industrial ^Agricultural D Vacant O Religious D Other Integrity: Building Condition: 3 Plat A Bl. 6 D Site D Ruins D Unaltered D Minor Alterations B^Major Alterations Preliminary Evaluation: Final Register Status: D Significant D Contributory Or Not Contributory D Intrusion D National Landmark D National Register D State Register D District D Multi-Resource D Thematic Photography: 9/12/78 JhjJ DOCUMENTATION Date of Slides: Views: Front D Side D Rear D Other D Date of Photographs: Views: Front D Side D Rear D Other D Research Sources: D Abstract of Title D Plat Records D Plat Map D Tax Card & Photo D Building Permit D -Sewer Permit D Sanborn Maps D D D D D D D City Directories Biographical Encyclopedias Obituary Index County & City Histories Personal Interviews Newspapers Utah State Historical Society Library D D D D D D D LDS Church Archives LDS Genealogical Society U of U Library BYU Library USU Library SLC Library Other Bibliographical References (books, articles, records, interviews, old photographs and maps, etc.): 3 |