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gMAJOR BIBLIOGRAPIDCAL REFERENCES ~k.a... 'I ~ l1.tM.. S,' /11411 hIA-- • 7~ W~ ~iI...kt t\-~ \ov..:.,.h~ -:l~ \ . #It ;\04'lU.. .. {:;n ,~ , IW " / k~ 1- ~ u..,SM. f?t.c.kt. .. ~ (M..d t 1)1 II ~ ()S C A.<.P d..t.t> (,u ~ {-k t...J. h~ ~ t-l..., h A(/Jl..., ~ . A.u....~ M l--L.t ~ ?~ .. . ..... f3,/~ I-+....s IJ lei LU~ ~ h.- c.,........ -rk. ~ ., S lJ ...u~ Jnll~ , t • -:k....L ""!. (). I 't1 ktJ /. /.J.n.,..,.s. ~• Iko? - 4r:;t td uk'" sMlt I.J.V, ~ .s ~ ~ BnGEOGRAPHlCALDATA C&<!.A ACREAGE OF "OMINATED PROPERlY ~ r S~ . ~, LA ~ UTM REFERENCES Al11J 12.1P, ~h ' b J(" l'i. 110,310,5'", oj ZONE EASTING NORTHING ClLJ I I I I J I I , I I , I I I t VERBAL BOUNDARY DESCRIPTION I I ' I , I NORTHING I I I I I I B~ 1I , I EASTING oW I I I I ZONE LIST ALL STATES AND COUNTIES FOR PROPERTIES OVERLAPPING STATE OR COUNTY BOUNDARIES STATE CODE COUNlY CODE STATE CODE COUNlY CODE =mFORM PREPARED BY NAMElTlTlE ~ Pw-el-Q. · ORGANIZATION lAW s;.kb STREET & NUMBER (@> I~~ Sen..(j t ~~ 3 01 W ~ <00 DATE IW ~ 17, (';--;8 TelEPHONE ('to I) S '3) , "6" [BSTATE HISTORIC PRESERVATION OFFICER CERTIFICATION THE EVALUATED SIGNIFICANCE OFTHIS PROPERTY WITHIN THE STATE IS: NATIONAL_ STATE__ LOCAL ' " As the designated State Historic Preservation Officer for the National Historic Preservation Act of 1966 (Public Law 89-665).1 '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 National Park Service. 51'AT~-+f'STOfI'C-f'R£SEfIVATfOHOFfICER-SleNATURE TITLE ~~ I) . FOR NPS USE ONLY , J HEREBY CERTIFY THATTHIS PROPERlY IS INCLUDED IN THE NATIONAL REGIS . ".;. > DIRECTOR. OFFICE OF ARCHEOLOGY ANO HISTORIC PRESERVATION An EST: t(EEPER OF TH E NATIONAL REGISTER . .. '~ . : OATE DATE " , · . "' . . ,": ':'" ~ . . . . .. .