The nomination, in full
Bibliography, boundary description, and the people who prepared and reviewed the nomination.
Historic Preservation Office Columbus, Ohio 43211 4. Present Name(s) 5. Other Name(s) 16. Thematic Category 28. No. of Stories Basement? Yes O 30. Foundation Material City or Town 18. Style or Design Rumanesque Nceo. 31. Wail Construction Site Plan with North Arrow 19. Architect or Engineer 20. Contractor or Builder 33. No. of Bays Side 3 34. Wall Treatment 35. Plan Shape L 23. Ownership 36. Changes Addition & Altered N 24. Owner's Name & Address, in #42) Moved O if known 37. Condition 7. Coordinates 25. Open to Preservation Site O Object O 26. Local Contact Person or Organization Endangered? 1. On National 12. Is lt By What? No X 27. Other Surveys in Which Included 3. Part of Estab. Yes O 14. District 40. Visible from Hist. Dist.? 5. Name of Established District 41. Distance from and Frontage on Road ~40'x26!I 2. Further Description of Important Features 3. History and Significance 1.
Description of Environment and Outbuildings -. Sources of Information 46. Prepared by Organization Revision Date(s) Front County Date Register? Structure Underway? Potent'? Private Interior (Explain Specific Location Ohio Historical Society OHIO HISTORIC INVENTORY Public Road? 1. No. Location of Negatives 17. Date(s) or Period Ca - I8GO If Rural, Township & Vicinity 2. Roof Type & Materia 21. Original Use, if apparent 22. Present Use Building X - National Register Write-up Federal Register Entry United States Department of the Interior National Park Service WASO No. 7 KEEPER CONTROL Inventory ARCHEOLOGIST Maps Send-back Re-submit HISTORIAN 2-2-79 REVIEW_UNIT Photos /05 Working Number9. 19.78.
4117 Entered APR 1 1 1979 3:28.79 IN T :2106 - REVIEW UNIT CHIEF HAER State Ohis JUL Multiple Property Cover Sheet Reference Number: 64000655 Multiple Property Cover Sheet Please refer to the map in the for this property