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Show Site No. Researcher: Tom Carter 7-7-78 Date: 122B Utah State Historical Society Historic Preservation Research Office Structure/Site information Form -J^l (IDENTIFICATION p | AGE/CONDITON/USE Street Address: Name of Structure: Present Owner: Owner Address: adobe shed Ben Moss Beaver, Utah Original Owner: Andrew oisen Original Use: Present Use: not D D D D Plat A BI.31 Lot i Single-Family Multi-Family Public Commercial known 3 V) 1 CO Construction Date: • 1890 Demolition Date: ofVacant D Religious D Other Integrity: 0 Site D Ruins oryUnaltered D Minor Alterations D Major Alterations Preliminary Evaluation: Final Register Status: D Significant ^Contributory D Not Contributory D Intrusion D National Landmark D National Register D State Register Date of SI ides: Views: Front D Side B^Rear D Other D D District D Multi-Resource D Thematic 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 S. UTM: Tax #: Photography: ^^ DOCUMENTATION R. Occupants: D Park D Industrial D Agricultural Building Condition: D Excellent D Good • Or Deteriorated T. 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 V U of U Library BYU Library USU Library SLC Library Other Bibliographical References (books, articles, records, interviews, old photographs and maps, etc.): |