| OCR Text |
Show Fll R"""",-- OO (11-78) United States Department of the Interior Heritage Conservation and Recreation Service National Register of Historic Places Bnventory-Nomination Form See instructions in How to Complete National Register Forms Type all entries-complete applicable sections 1. Name ~ ~e.oR6e. · ~IAL HAu...!\1atti ~~ t\-O~e. • historic and/or common --n!~. <6U c:::.Atz ~e eo T · 1='b.c::..TO l2-'< 2. Location street & number city, town Go~\l'=f2 OF · t-iA.lt-l 4--2.00 t4,0. $ \ G~~c:;e _ vicinity of _ not for publication congressional district , code state 3. Classification Category district X bullding(s) _structure _site _object Ownership _public X private _both Public Acquisition _ I n process _ being considered Status _occupied $ unoccupied work In progress _ Accessible ~ yes: restricted ~ yes: unrestricted _no Present Use _ agriculture _ commercial _ educational _ entertainment _ government ~ Industrial _ , military _museum _park _ private residence __ religious _ scientific _ transportation _other: 4. Owner of Property city, town eG~t.:T; L~ ~ c,"'"'~ _ vicinity of stata 5. Location of Legal Description tJ'T: &41'1 ur- B4;; 0 courthouse, registry of deeds, etc. street & number city, town 6,. c;3r 6~OQ61:. state rr-iep1esen~at:;on in Existing Surveys title date has this property been determined eJeglble? _ _ federal _ state _ depository for survey records city, town state yes county no _local |
