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Show Researcher: Date: SP 17-180B Tom Carter Utah State Historical Society Historic Preservation Research Office Structure/Site Information Form 1 o g o u. P Ul 9 ^J AGE/CONDITON/USE Street Address: Plat A Bl.42 Lot 4 Name Of Structure: Present Owner: Meiba Bens en Owner Address: spring City, Utah Original Owner: Ernest Justesen Original Use: Present Use: D D 0 D Single-Family Multi-Family Public Commercial [^Excellent B Good a Deteriorated D Vt Tax #: Construction Date: 1910 Demolition Date: Occupants: D Park D Industrial Q Agricultural O'vacant Q Religious 0 Other Integrity: Q Site D Ruins BT Unaltered D Minor Alterations Q Major Alterations Final Register Status: D Significant H/Contributory D Not Contributory a Intrusion a National Landmark D National Register a State Register a District D Multi-Resource D Thematic Photography: Date of Slides: '' '° Views: Front H^Side Q Rear Q Other D Date of Photographs: Views: Front a Side a Rear D Other a Research Sources: D aar D D D D Q Abstract of Title Plat Records Plat Map Tax Card & Photo Building Permit Sewer Permit Sanborn Maps D a D D a D D City Directories Biographical Encyclopedias Obituary Index County & City Histories Personal Interviews Newspapers Utah State Historical Society Library D a Q a 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.): Sanpete County Records. S. UTM: Preliminary Evaluation:: X^ DOCUMENTATION R. agriculture Building Condition: 3 T. Ernest Justesen Granary |