From the form
The catalogue entry the section above was filed under.
United States Department of the Interior National Park Service 4 1984 received MAY date entered See instructions in How to Complete National Register Forms Type all entries - complete applicable sections and or common 18797 State Route 58 street & number -not for publication Wellington vic. city, town X state - public X occupied _ agriculture _ museum x building(s) -park _ both - work in progress X private residence _ religious . in process - yes: restricted - government . scientific N/Abeing considered X. yes: unrestricted _ industrial - military 4. Owner of Property Claude & Debra Lackowski X_ vicinity of courthouse, registry of deeds, etc. 226 Middle Avenue has this property been determined eligible? - yesx no depository for survey records Ohio Historic Preservation Office 039 2. Location Lorain Elyria 6. Representation in Existing Surveys entertainment Accessible code county date 3.
Classification Category transportation commercial educational title Columbus site structure Ohio district historic Inventory-Nomination Form Status object Ownership National Register of Historic Places federal local other: 5. Location of Legal Description Public Acquisition Lorain County Administration Building (3-82) Xprivate Ohio Historic Inventory Present Use July 1976 NPS Form 10-900 For NPS use only 1. Name OMB No. 1024-0018 Exp. 10-31-84 Avery, Carlos, House X vicinity of (located in Pittsfield Township) 44090 43211 MAY _ excellent _ deteriorated _ unaltered x good .ruins X altered _ fair Describe the present and original (if known) physical appearance