MAJOR BIBLIOGRAPHICAL REFERENCES Atlas of Shelby County, 1900. 10 GEOGRAPHICAL DATA ACREAGE OF NOMINATED PROPERTY _ Less than one UTM REFERENCES VERBAL BOUNDARY DESCRIPTION LIST ALL STATES AND COUNTIES FOR PROPERTIES OVERLAPPING STATE OR COUNTY BOUNDARIES STATE - . COUNTY 11 FORM PREPARED BY NAME/ TITLE STREET & NUMBER 419-586-2365, Ex. 53 CITY OR TOWN 12 STATE HISTORIC PRESERVATION OFFICER CERTIFICATION THE EVALUATED SIGNIFICANCE OF THIS PROPERTY WITHIN THE STATE IS: NATIONAL - LOCAL X As the designated State Historic Preservation Officer for the National Historic Preservation Act of 1966 (Public Law 89-665). I criteria and procedures set forth by the National Park Service.
STATE HISTORIC PRESERVATION OFFICER SIGNATURE TITLE State Historic Preseruation Officer FOR NPS USE ONLY I HEREBY CERTIFY THAT THIS PROPERTY IS INCLUDED IN THE NATIONAL REGISTER -KEEPER OF THE NATIONAL REGISTER GPO 892.453 CODE ORGANIZATION DATE ATTEST TELEPHONE Celina NORTHING Courthouse records. 6/77 Ohio Historic Preservation Officer 100 South Campus Drive ZONE EASTING Mary Ann Brown The Sidney Daily News, Bicentennial Edition, July, 1976. The Shelby Democrat, 1878-1881 (microfilm). hereby nominate this property for inclusion in the National Register and certify that it has been evaluated according to the ZONE Western Ohio Branch Campus The nominated property consists of town lot #23. Photos _ ARCHITECTURAL HISTORIAN SEP 2 0 1978 National Register Write-up Federal Register Entry United States Department of the Interior National Park Service WASO No.
7 OTHER KEEPER Inventory TECHNICAL Entered Send-back Maps HAER Property HISTORIAN 4.13.78 CONTROL State Review Re-submit BRANCH CHIEF Working Number 4.12.78.2962 REVIEW UNIT CHIEF IN T:21 ARCHEOLOGIST Shel Ret SEP 2 0 1978 ANNA TOWN HALIAPR 12 1978 ANNA, OHIO Mayor's Office No. 2 West side of building PROPERTY OF THE NATIONAL REGISTER MAYOR JAMES HARPEST 7/77 SEP 2 O 1978 PROPERTY OF THE NATIONAL REGISTER JAMES HARPEST Rear of building - south Mayor!s Office JULY, 1977 ANNA,OHIO GEOLOGICAL SURVEY BOTKINS, OHIO BOTKINS QUADRANGLE UNITED STATES N DEPARTMENT OF THE INTERIOR 7.5 MINUTE SERIES (TOPOGRAPHIC) CREEK APR 1% 1978 y DEPARTMENT OF HIGHWAYS STATE OF OHIO DIVISION OF GEOLOGICAL SURVEY STATE OHIO Fairfield County Cahoon, Samuel C., House Honorable John H. Glenn, JI. Dx. Thomas H.
Smith Name Lorain County Lorain Location Anna Director Lima Cincinnati Hamilton County Also Notified MacDonell House North Ridgeville Observatory Historic District State Historic Preservation Officer ENTRIES IN THE NATIONAL REGISTER Date Entered Honorable Howard M. Metzenbaum Shelby County Anna Town Hall Carroll vicinity Honorable Tennyson Guyer Honorable Clarence E. Miller The Ohio Historical Society Honorable Donald J. Pease Allen County SEP 2 0 1978 Interstate 7l at 17th Avenue Bright, John, No.l Iron Bridge Root, William H., House Byers/bjr 9/28/78 OHIO OMB Approval No. 29-F0218 BER 3. STAIE TYPE ] PREAPPLICATION 19 77 (Mark ap- 4. LEGAL APPLICANT/RECIPIENT 5. FEDERAL EMPLOYER IDENTIFICATION NO. State of Ohio b. Organization Unit : Ohio Historical Society c. Street/P.O. Box : 1982 Velma Avenue City : Columbus b. TITLE f. State Anna, Ohio Thomas H. Smith, SHPO, 614-466-1500 h.
Contact Person (Name & telephone No.) 7. TITLE AND DESCRIPTION OF APPLICANT'S PROJECT Ohio. Circa 1880 brick building combining town 1 Indian Tribe hall, opera house, jail and fire department. some architectural distinction, particularly in its small town setting, and is important as nucleus of 9. TYPE OF ASSISTANCE Enter appro 10. AREA OF PROJECT IMPACT (Names of cities, counties, 12. TYPE OF APPLICATION States, etc.) 14. CONGRESSIONAL DISTRICTS OF: $ 6,000 17. PROJECT LOCAL 19 79 $ 12,037 ESTIMATED DATE TO 19 78 12 26 20. FEDERAL AGENCY TO RECEIVE REQUEST (Name, City, State, ZIP code) 21. REMARKS ADDED - Yes & No b. SIGNATURE 24. AGENCY NAME 26. ORGANIZATIONAL UNIT 27. ADMINISTRATIVE OFFICE GRANT 31. ACTION TAKEN KJ B. AWARDED 33. ACTION DATE- - b. REJECTED CONTACT FOR - C. RETURNED FOR Stephen D, Newman- - d. DEFERRED b.
FEDERAL AGENCY A-95 OFFICIAL STANDARD FORM 424 PAGE 1 (10-75 day 970 02-006-0046 39-09613 20243 202-343-4941 31-4389673W CATION ASSIGNED BENEFITING ENDING IDENTIFICATION RECEIVED DATE Leave D-County GRAM APPLICANT 424-101 PROPOSED FUNDING FUNDING Year STARTING FIER CERTIFYING E-City SENTATIVE PRO. PROJECT START REPORT OF FEDERAL ACTION C-Revision attached E-Cancellation Has A-New F-School District B-Decrease Dollars A-State FEDERAL ASSISTANCE C-Substate H-Community Action Agency Enter appropriate letter D-Insurance Historic Preservation CANT'S A-Basic Grant REPRE. 6,037 data in this preapplication/application are .WITHDRAWN Federal D-Decrease Duration Ohio State Clearinghouse APPLI. E-Augmentation FEDERAL AGENCY 8.Applicant Name ance is approved. Blank 9/30/79 NOTIFICATION OF INTENT (Opt) Year month C-Increase Duration Thomas H.
Smith duly authorized by the governing body of A-Increase Dollars A-95 ACTION District with the attached assurances if the essist- DATE Year month day (Name and telephone no.) C.STATE SAME AS 35 it has been or is being made. C.DATE SIGNED IDENTI. Catalog) Director g SHPO 15.TYPE OF CHANGE B-Intorstate priate letter(a) F-Other 15- 411 -. County : Franklin 8. TYPE OF APPLICANT/RECIPIENT ESTIMATED NUM- 19. EXISTING FEDERAL IDENTIFICATION NUMBER a. To the best of my knowledge and belief, 8. TYPED NAME AND TITLE (Name and telephone number) G-Special Purpose Washington. D.C. ADDITIONAL THE FOR D-Continuation TOTAL AMENDMENT B-Renewal DEPARTMENT OF THE INTERIOR the applicant and the applicant will comply THE INTERIOR -Higher Educational Institution true and correct, the document has been To continue in use as town hall.
BE SUBMITTED TO C-Losn b.If required by OMB Circular A-95 this application was submitted, pursuant to in. (From 2 OTHER NAMES: 3) date of entry: 4 county code: (II)CONGRESS.
DISTRICT 4th (12)SOURCE of NOMINATION - FEDERAL - LOCAL - deteriorated Oaltered Doriginal site 17) features: Oruins EO NOT INTACT-O Omoved Dunexposed - Unknown Dunexcavated O NOT APPLICABLE - 9 - No Access @AREAS OF SIGNIFICANCE : -RECREATION -28 CLAIMS: explain CARCHEOLOGY - prehistoric -2 - LAW - 16 C RELIGION- 22 - ARCHEOLOGY-historic-1 C COMMUNICATIONS-7 -EXPLORATION -12 - LITERATURE - 17 - SCIENCE- 23 DURBAN PLANWING-31 'oldest' O - AGRICULTURE -3 - CONSERVATION - 8 C HEALTH-27 C MILITARY- 18 C SOCIAL/HUMANITARIAN-24OTHER(SPECIFY) - ARCHITECTURE-4 - ECONOMICS-9 C INDUSTRY- 13 - MUSIC - 19 - SOCIAL / CULTURAL - 30 'only' D - ART-5 - EDUCATION-10 C INVENTION - 14 - PHILOSOPHY - 20 - TRANSPORTATION - 25 3 functions major alterations : 2 architectural style(s): *landscape architeot / garden designer: M interior decorator: |IF ADDITIONAL SPACE NEEDED, NUMBER& PUT ON REVERSE 149 PH0667072 CONDITION ASSOCIATION Anna SEP201978 Shelby XSTATE SETTLEMENT-29 PERSONAL: ENTERTAINMENT-26 INSTITUTIONAL: ENGINEERING-11 builder/contractor: CURRENTLY: historic events: WHEN HISTORICALLY SIGNIFICANT: EVENTS: artist: PRIVATE ORGANIZATION artisan: Main St.
NATIONAL REGISTER WRITE-UP SUBSTANTIALLY INTACT-1 ADMINISTRATOR: Anna Town Hall COMMERCE-6 vicinity of dates of initial construction: master builder: Dexcellent date. SAVED? YES Ofair GNPS REGION: 5 LOCATION street & number city / town -good Oreconstructed >C UNKNOWN-6 - LANDSCAPE ARCH.- 15 - L POLITICS/GOVT.-21 @arohiteot: ETHNIC engineer: GROUP SEP reviewers initials NATIONAL REGISTER DATA SHEET BACCESS as it appears on federal register: