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Show Site No. Researcher: Date: 95 Utah State Historical Society Historic Preservation Research Office Structure/Site Information Form ""M IDENTIFICATION Street Address: Name of Structure: Present Owner: Owner Address: Plat A Bl. 24 Lot 4 ranch style house David E . sorensen spring City, Utah Original Owner: ^J AGE/CONDITON/USE Original Use: Present Use: Construction Date: @1978 D Excellent QTGood D Deteriorated 1 V) Demolition Date: Occupants: D Park D Industrial D Agricultural D Vacant D Religious D Other Integrity: Building Condition: CO S. house [Swingle-Family D Multi-Family D Public D Commercial 3 T. R. UTM: Tax #: D Site D Ruins EMJnaltered D Minor Alterations D Major Alterations Preliminary Evaluation: Final Register Status: D Significant D Contributory V-Not Contributory D Intrusion D National Landmark D District D National Register D Multi-Resource D State Register D Thematic Photography: f^ DOCUMENTATION Date of Slides: ° JU /0 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.PIat Records sr Plat Map D Tax Card & Photo D. Building Permit D Sewer Permit D Sanborn Maps a D D D D D Di 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.): NATIONAL REGISTER / / |
