The nomination, in full
Bibliography, boundary description, and the people who prepared and reviewed the nomination.
Historic Preservation Office Ohio Historical Society Columbus, Ohio 43211 ( 4. Present Name(s) 5. Other Name(s) 16. Thematic Category No. of Stories Basement? Yes X 17. Date(s) or Period 30. Foundation Material City or Town If Rural, Township & Vicinity 18. Style or Design 31. Wall Construction Site Pian with North Arrow 19. Architect or Engineer 20. Contractor or Builder No. of Bays 21. Original Use, it apparent Side 3 34. Wall Treatment 23. Ownership Public Road? 36. Changes Addition O Private Y in #42) 24. Owner's Name & Address, Moved O if known Condition ). Coordinates 25. Open to Structure - Building X Object Q 26. Local Contact Person or Organization Endangered? 1. On National By What? No X 27. Other Surveys in Which Included District Visible from Hist. Dist.? Distance from and Frontage on Road 2. Further Description of Important Features 3. History and Significance ).
Sources of Information 46. Prepared by 47. Organization 48. Date 49. Revision Date(s) Exterior Front Preservation Long. Eligible? Underway? Lat. Interior Site County Specific Location (Explain 313400 Register 3.Part of Estab.Yes Fra 32. Roof Type & Material Present Use 22. Present Use 35. Plan Shape Altered M 12. Is It 4. Description of Environment and Outbuildings Gable Sheet mh SCNO PA=159 Ceograr Ped 3175 State This Inventory - Federal Register Entry United States Department of the Interior National Park Service WASO No. 7 KEEPER ARCHEOLOGIST CONTROL Maps Send-back TECHNICAL Re-submit Review HISTORIAN National Register Write-up Working Number9. 19.78.
4117 2-2-79 Entered APR 1 11979 3.28.79 IN T:2106-74 deficiencies numerous REVIEW UNIT CHIEF HAER Photos /05 JUL Multiple Property Cover Sheet Reference Number: 64000655 for this property Please refer to the map in the Multiple Property Cover Sheet