| OCR Text |
Show It) ~ ~ ~ ~......,.. ..... - • !:o..~ ~ ~.".. .. 'T4e fA J+¥aX.e.~ ~ ~ ..c..c-....~·-r· " " ~~, e.c@.? ~ \ \C;''t. " " " ~" "' 9. Major Bibliographical References 10. Geographical Data Acreage of nominated property ~ ~ ~. \', _ 'L."'t-OOO "Quadrangle scale _ ~--:;.~__ " Quadrangle name ~~, lJ.N. UMT References A~ Zone 1312.1~'-t1{, el 1~1:l.ISj 'I \ 1'10 1 " Northing Easting " cUJ I I I I I GLLj I I 1 " ELLJ I I1 I I I I I I J I I 1 r l , I B " " W IEastlng I I II . I Zone I ,::"1:,::;1:;:';-1. . .1---..... 1--." Northing DLiJ 1"" 1' 1' "' ,""I ' f'rl' l "'1 I I J I I FLU, ' ' I 'f HLtJ I I "II I 1 I ,--I~I...........a..........t 1. 1 I I Verbal boundlU}' description and justification List all.tate. and counties fo; propertie.overlapping state or 'c ounty boundaries state code county code state code county code 11. Form Prepared By \) organization street & number .s~S " ~OO • ~ $! Jk..c:t. , \ ~C)O date ~ ?¥&:- :&:::::::G: " telephone -. C~OI)S~~-"--""b-O-17---"! ' r SL- Cstate U'l'AH . 12. State Historic P-r eservat:ion Officer-Certification city or town ~ Mn;PGtD .. The evaluated significance of this property within the state Is: _ national 1 state _ " local As the designated State Historic Preservation OHlc8r for the National Historic Preservation Act of 1966,(Public law 89665). I hereby nominate this property for Inclusion in the National Register and certify that it has been evaluated according to the criteria and procedures set forth by the Heritage Conservation and Recreation Service. State Historic Preservation Officer signature date title For HCRSuse only -" :}i;\~;:: ':'. '; ~ ; > . . . ;, . :;;'~'~!.;:: '" ",,; c:: ;,, ;;;.{ , . "" I her~by "artify that this property is mcluded In the National Raglsier :~:;,i;:'~h?/t~tj$- \ , "'. ': . ../ :f~~~~~~';i:'}ji~:~);:, ' . ,~ . "";. ", : " -:;~" : " :L';5~';f::::~,:, :;~;~t(E~;:;2~~*I~'r;if~:~:·~l:';~ ~t. ;::' Keeper of "the National Register " !... 1: Attest: ~ •. Chle' of Registration ' .. ~; .. . ".". . " GPO 938 13S |
