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Show Researcher: Date: Site No. Tom Carter 6/28/78 79 Utah State Historical Society Historic Preservation Research Office Structure/Site Information Form «"M IDENTIFICATION Street Address: Name of Structure ; Present Owner: Owner Address: trailer home Sidney L. Kelsey Spring City, Utah Original Owner: Original Use: Present Use: |^ AGE/CONDITON/USE Or D O D D CO • ^1977 ( <te>o "L "7 1 Q "L for older home) Demolition Date: dwelling Single-Family Multi-Family Public Commercial D Excellent B^Good D Deteriorated CO Tax #: Construction Date: Occupants: D Park D Industrial D Agricultural D Vacant D Religious D Other Integrity: Building Condition: 3 Plat A Bl. 21 Lot 3 T. R. S. D Site D Ruins iMJnaltered D Minor Alterations D Major Alterations Preliminary Evaluation: Final Register Status: D D Is D D National Landmark D National Register D State Register Significant Contributory Not Contributory Intrusion D District D Multi-Resource D Thematic Pho.tography: Jj^ DOCUMENTATION 6/28/78 Date of Slides: Views: Front D Side O^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 5?"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.): RECEIVED NATIONAL REGISTER |