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Show Researcher: Date: Site No. Tom Carter 7-171*7 8 272 Utah State Historical Society Historic Preservation Research Office Structure/Site Information Form —M IDENTIF CATION Street Address: Name of Structure: Present Owner: Owner Address: Plat A Bl. 89 Lot i T. |\J AGE/CONDITON/USE Original Use: Present Use: D D D D 799 16th Ave, San Francisco, CA D Excellent M Good D Deteriorated i V) @1890 Demolition Date: dwelling Occupants: D Park D Industrial D Agricultural Ss Vacant D Religious D Other Integrity: Building Condition 3</> Tax #: '94118 Construction Date: Single-Family Multi-Family Public Commercial D Site D Ruins D Unaltered BB^Minor Alterations D Major Alterations Preliminary Evaluation: Final Register Status: D IF D D D National Landmark D National Register D State Register Significant Contributory Not Contributory Intrusion D District D Multi-Resource D Thematic Photography: ^| DOCUMENTATION Dateof^lidisV"? 8 Views: Front it Side D Rear D Other D Date of Photographs: Views: Front D Side D Rear D Other D Research Sources: D Abstract of Title DPIat Records m 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 IDS 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, etcj^ Sanpete County Records, S. UTM: Mvrtle L. Jensen • Original Owner: R. |