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Show NPS Fonn 10-900 (Oct 1990) Utah WordPerfect 5.1 Fonnat (Revised Feb. 1993) OMB No. 10024-0018 United States Department of the Interior National Park Service National Register of Historic Places Registration Form This form is for use in nominating or requesting determinations of eligibility for individual properties or districts. See instructions in How to Complete the National Register of Historic Places Fonn (National Register Bulletin 16A). Complete each item by marking "x" in the appropriate box or by entering the information requested. If an item does not apply to the property being documented, enter "N/A" for "not applicable." For functions, architectural claSSification, materials, and areas of Significance, enter only categories and subcategOries from the instructions. Place additional entries and narrative items on continuation sheets (NPS Form 10-900a). Use a typewriter, word processor, or computer to complete all items. historic name Indian Canyon Ranger Station other names/site number _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ street & number Duchesne Ranger District Ashley National Forest N/A not for publication city or town -'-"""".....i:IJ..ll"-"'.......>-------------------------n"'---~::_T_\_- state lltah code liT county Duchesne X vicinity zip code 84021 As the designated authority under the National Historic Preservation Act, as amended, I hereby certify that this X nomination _request for determination of eligibility meets the documentation standards for registering properties in the National Register of Historic Places and meets the procedural and professional requirements set forth in 36 CFR Part 60. In miopinion, the property Xmeets _does not meet the National Register criteria. I recommend that this property be considered significant _nationally _statewide Xlocally. L See continuation sheet for additional comments.} Signature of certifying officialmtle Date Utah Division of State Historv. Office of Historic Preservation State or Federal agency and bureau In my opinion, the property _meets _does not meet the National Register criteria. additional comments.} Signature of certifying officialmtle L See continuation sheet for Date State or Federal agency and bureau I hereby certify that this property is: _ entered in the National Register. See continuation sheet. _ determined eligible for the National Register. See continuation sheet. _ determined not eligible for the National Register. _ removed from the National Register. _ other, (explain:},_ _ _ _ __ Signature of the Keeper Date of Action |
