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Show Researcher: Tom Carter Date: 6/2^/78 Site No.. 57 Utah State Historical Society Historic Preservation Research Office Structure/Site information Form •»& IDENTIF CATION Street Address: Name of Structure: Present Owner: Owner Address: Original Owner: |^ AGE/CONDITON/USE R0 y Black House Mrs. LeRoy Black Spring City, Utah Kt>y rjcwvcK Original Use: Present Use: la D D D Construction Date: 1919 Lot 3 T. R. UTM: S. Tax#: Demolition Date: Occupants: D Park D Industrial D Agricultural ' D Vacant D Religious D Other Integrity: Building Condition: D Site D Ruins D Unaltered B'Minor Alterations D Major Alterations 3 Preliminary Evaluation: Final Register Status: aa> D Significant ^Contributory D Not Contributory D Intrusion D National Landmark D District D National Register D Multi-Resource D State Register D Thematic 4 Photography: o § Research Sources: . CO UJ S u o o Date of Slides: 6/2^/78 Views: Front D Side D Rear D Other D D H D D D D D Abstract of Title Flat Records Plat Map Tax Card & Photo Building Permit Sewer Permit Sanborn Maps 17156 dwelling Single-Family Multi-Family Public Commercial D Excellent H^Good D Deteriorated - PlatB BIA D D D D Date of Photographs: • Views: Front D Side D Rear D Other D City Directories Biographical Encyclopedias Obituary Index County & City Histories a Personal Interviews D Newspapers D Utah State Historical Society Library D LDS Church Archives D D D D D D 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.): Sanpete County Records. Interview with Vero Aiken by Tom Carter,.10-10-78. V\ *s. xX NATIONAL REGISTER /x /o/ \ x/ |
