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Show 2 Date: J/J. 0 .eO Researcher: Site No. ___ __ __ Utah State Historical Society Historic Preservation Research Office Structure/Site Information Form 1~ Street Address: 5 Name of Structure: st. G u: Plat BI. Lot T. R. S. ~ Present Owner: UTM: ~ Owner Address: Tax #: z ----------------------------------------------------------------------------------------------------Construction Date: 113 9 Demolition Date: 2 Original Owner: w en :J ..... Z o Original Use: Present Use: C o o o o w Building Condition: ~ z o u ..... « ~ Single-Family Multi-Family Public Commercial o Excellent o Good o Deteriorated Occupants: o Park o Industrial o Agricultural o Vacant o Religious o Other Integrity: o Site o Ruins o Unaltered o Minor Alterations o Major Alterations 3 Preliminary Evaluation: en :J ~ en o o o o Final Register Status: o National Landmark o National Register o State Register Significant Contributory Not Contributory Intrusion 4 Photography: Date of Slides: Views: Front 0 Side 0 Rear 0 Other 0 z o S z w :!! :J U o c 0 District 0 Multi-Resource 0 Thematic Date of Photographs: Views: Front 0 Side 0 Rear 0 Other 0 Research Sources: o o o o o o o Abstract of Title Plat Records Plat Map Tax Card & Photo Building Permit Sewer Permit Sanborn Maps o o o o o o o City Directories Biographical Encyclopedias Obituary Index County & City Histories Personal Interviews Newspapers Utah State Historical Society Library o o o o o o o LOS Church Archives LOS Genealogical Society U of U Library BYU Library USU Library SLC Library Other Bi bl iog raph ical References (books, articles, records, interviews, old photographs and maps , etc.): |