| OCR Text |
Show Forest Name A0b Compound (Site) Name =~~~~c~~~~~~~e:~_____________________ \..ey Building R-4 Plan # ,.4z-\'32# ~_____ ~~~~==~----------- Year of construction --~~+-----------~~----------------Building's original function ~~~~~~~~~>r.~---.----Building's current function ~ Is structure in original location? If not, date moved Any change to major exterior components? Y ~ *If yes, describe below. ----~---- National Register Status: Circle one (complete most recent) 1. 2. 3. 4. Listed. Date listed on NR Determined eligible. Date determined eligible ~___________________ Determined ineligible. Date determine ineligible Unevaluated. Latest date of determination Facility Master Plan Direction: Circle one 3. 4. 5. Currently in use (at least seasonally). Not in use but planned use with no modifications <3 years. Not in use but planned use with major exterior component modifications <3 years. In use and disposal planned <3 years. No use planned <3 years. *Describe any major exterior component modifications: Are there any other issues or concerns that would alter or effect a determination of eligibility for this structure? |