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Show Researcher: Date: Site No. Tom Carter 6/14/78- Utah State Historical Society Historic Preservation Research Office Structure/Site Information Form 1 i § Plat A Bl. 9 Lot Street Address: g Name of Structure: Larsen-Jensen House T. p o ——————————=—————————————————————- ———— - - —— - - -- ——— - — - -———— - ——————————————————————————— Present Owner: Owner Address: Ada Whitely 3679 S 24oo UTM: ^ w | Original Owner: Original Use: Present Use: O b § O D D D D | Building Condition: < [^Excellent D Good D Deteriorated Q Preliminary Evaluation: Final Register Status: o 3 • <C tn L OH D D D National Landmark D National Register D State Register 2 E SLC, UT 84109 . R. 4 Tax #: S. 17139 Construction Date: @l870-74 Demolition Date: dwelling Occupants: Single-Family Multi-Family Public Commercial D Park D Industrial D Agricultural s'Vacant a Religious D Other Integrity: D Site D Ruins er Unaltered D Minor Alterations D Major Alterations Significant Contributory Not Contributory Intrusion D District D Multi-Resource D Thematic 4 Photography: Date of Slides:. 2 O Views: Front H Side a Rear D Other ef -fence. Views: Front D Side D Rear D Other D ————————————————————————————————————————————————————————————————————————————————————————————————— § Research Sources: 2 H 3 O D D Abstract of Title Isf Plat Records S^RIat Map D Tax Card & Photo D Building Permit D Sewer Permit D Sanborn Maps , /17 ,_ 0 6/14/78 Date of Photographs: D D D D D D D Bibliographical References 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 USD Library SLC Library Other (books, articles, records, interviews, old photographs and maps, etc.) : Abstract of Townsites. Deed Record Al page 115. Sanpete County Records. /y r \V\ \-"\ RECEIVED ^ SEP2J j*79 > NATIONAL RFTJIQTCD ' A |