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<br />,Sl"ATE IlNJ:;1'l,TORY FORM . <br />. I "'I~" n ~ <br />... . \.J:..;': '\J . . <br /> <br />. <br /> <br />"-l ~~~&f'-? ~ rJ r/ <br />1) site -tl er - picture <br />.site Threatened <br /> <br />, <br /> <br />1k;~d~ t?A <br />/I,cr <br /> <br />.'?c;A.! i/-u) 19 <br />'l'~ R~/ s~ <br /> <br />3) OWNER <br /> <br />4) CONDI'l'ION excellent V good fai.z: ruins <br /> , <br /> buildings occupied Y unoccupied <br />5) PHYSICAL DESCRIPTION Building has 1 X- 2 3 IJt"v -8 <br /> frame stone ;toq X bJ:i<:k other <br /> indicate <br /> . <br /> <br />6)SIGNIF'ICANCE Be specific making certaJ.n to give date (13). List <br />your sources. If necessary continue on the back. . <br /> <br />~u~ ~~-fIP~;l.. <br />.~'dy~~~/U&~~ <br /> <br />" <br /> <br />7) <br /> <br />Name <br /> <br />Addreu <br />