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Show Grafton Historic District Name of Property Rockville , Washington County , Utah City, County and State 10. Geographical Data Acreage of Property_6;:.;6:,;..; .5. :;a. :;cr;.;:e:. l.{s;;. (}_ _ _ _ _ _ _ _ __ UTM References (Place additional boundaries of the property on a continuation sheet.) Zone C_I_ Zone I I I I Easting I I 111111 B_I_ 111111 0_1_ Northing I I Easting Northing Zone Zone I I I I I 111111 I / I I I 111111 Easting Easting Northing Northing Verbal Boundary Description (Describe the boundaries of the property.) Property Tax No. Boundary Justification (Explain why the boundaries were selected.) ? Q-? (' 11. Form Prepared By nameltitle I2:5lSee continuation sheet{s) for Section No.1 0 Beatrice Lufkin organization Grafton Heritage Partnership date December 2009 street & number telephone 801-583-8249 city or town 1460 Harrison Avenue Salt Lake City state~ zip code 84105 Additional Documentation Submit the following items with the completed form : Continuation Sheets Maps A USGS map (7.5 or 15 minute series) indicating the property's location. A Sketch map for historic districts and properties having large acreage or numerous resources . Photographs: Representative black and white photographs of the property. Additional items: (Check with the SHPO or FPO for any additional items) Property Owner nameltitle Various -~~~-------------------------------------------------------- _ _ _ _ _ _ __ ------------------------------ telephone state zip code street & number city or town Paperwork Reduction Act Statement: This information is being collected for applications to the National Register of Historic Places to nom inate properties for listing or determine eligibility for listing , to list properties, and to amend existing listings. Response to this request is requ ired to obtain a benefit in accordance with the National Historic Preservation Act, as amended (16 U.S.C. 470 et seq.). Estimated Burden Statement: Public reporting burden for this form is estimated to average 18.1 hours per response including time for reviewing instructions, gathering and maintaining data, and completing and reviewing the form . Direct comments regarding this burden estimate or any aspect of this form to the Chief, Administrative Services Division, National Park Service, P.O. Box 37127, Washington , DC 20013-7127; and the Office of Management and Budget, Paperwork Reductions Projects (1024-0018), Washington , DC 20503. |
