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Show NPSFannl~ OMBNo. 10024-0018 lOet 1990) Utllh WonIPerfect 5. I FonnaI ( R _ Feb. 1993) 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 Form (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 "NIA" 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 10-9OOa). Use a typewriter. word processor. or computer to complete aliiterns. 1. Name of Property historic name 463 park Avenue other names/site number _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 2. location street & number 463 park Ayenue l!lA. not for publication city or town --"p:..o:awrkI>...lo.oC... ityJ.-_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ NlA vicinity state Utab code ___O~4~3~________ zip code 84060 county Summit code I IT 3. StatelFederal Agency certification As the designated authority under the National Historic Preservation Act, as amended, I hereby certify that this 2lnomination _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 my opinion, the property Xmeets _does not meet the National Register criteria. I recommend that this property be considered Significant _nationally _statewide Xlocally. L See continuation 7i12:n;;;;u /7/ Signature of certifying officiallTitle Date G r I ej S Utah Division of State Historv. Office of Historic Preservation State or Federal a en and bureau In my opinion, the property _meets' _does not meet the National Register criteria. L See continuation sheet for additional comments.) Signature of certifying officiallTitle State or Federal a en Date and bureau 4. National .Park s.m.-CertIfIcation 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 DateUatad 5 1~8/q9 |
