From the form
The catalogue entry the section above was filed under.
Form No. 10-300 (Rev. 10-74) UNITED STATES DEPARTMENT OF THE INTERIOR NATIONAL PARK SERVICE RECEIVED DEC 3 0 1975 NATIONAL REGISTER OF HISTORIC PLACES JUN 1 8 1976 INVENTORY -- NOMINATION FORM SEE INSTRUCTIONS IN HOW TO COMPLETE NATIONAL REGISTER FORMS TYPE ALL ENTRIES -- COMPLETE APPLICABLE SECTIONS AND/OR COMMON NOT FOR PUBLICATION CITY. TOWN CONGRESSIONAL DISTRICT - VICINITY OF PRESENT USE X UNOCCUPIED X BUILDING(S) X PRIVATE PARK -WORK IN PROGRESS XPRIVATE RESIDENCE PUBLIC ACQUISITION IN PROCESS _YES: UNRESTRICTED X BEING CONSIDERED X NO XOTHER: Derelict OWNER OF PROPERTY Dr. Donald Klass STREET & NUMBER Ohio 45459 5 LOCATION OF LEGAL DESCRIPTION REGISTRY OF DEEDS, ETC.
451 West Third Street Ohio 45402 REPRESENTATION IN EXISTING SURVEYS DEPOSITORY FOR SURVEY RECORDS 039 Dayton Montgomery CODE DATE SCIENTIFIC AGRICULTURE OBJECT CLASSIFICATION LOCATION STATE ACCESSIBLE TITLE EDUCATIONAL CATEGORY RELIGIOUS SITE HISTORIC INDUSTRIAL MUSEUM MILITARY OWNERSHIP TRANSPORTATION NAME COURTHOUSE. STATUS PUBLIC Washington Township 113 Montgomery County Recorder's Office _GOVERNMENT DATE ENTERED _ENTERTAINMENT Centerville Ohio DATA SHEET _DISTRICT _STRUCTURE -COMMERCIAL FOR NPS USE ONLY -BOTH STREET & NUMBER West side of Yankee Street, Third--Charles Whalen _FEDERAL STATE COUNTY _LOCAL Box 6 COUNTY 7 DESCRIPTION X DETERIORATED X_ORIGINAL SITE GOOD _MOVED DATE. DESCRIBE THE PRESENT AND ORIGINAL (IF KNOWN) PHYSICAL APPEARANCE