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41. <br />CHIMNEY STATUS: <br />A 1 B — Original Partially Rebuilt Replaced <br />Removed /fallen <br />52. DATE OF CONSTRUCTION: Estimated <br />Actual ,L <br />1 <br />2 3 <br />4 <br />42. <br />CHIMNEY PLACEMENT: A Y B — Other: <br />2 3 <br />1826 -1865 1866 -1885 1886 -1915 1916 -1930 <br />1931 -1945 <br />Interior <br />Interior End Exterior End <br />Exterior Front Interior Rear Exterior Rear <br />8 <br />1 <br />2 4 <br />5 6 <br />7 <br />46. <br />WINDOW STATUS: <br />A ! B — C — <br />Original Altered <br />A. Type: 0 4E Dater Name /Event: �(� <br />a (`. a. tq" <br />1 <br />47. <br />WINDOW FEATURES: <br />A XJ l B — — C — — <br />Sashes: <br />Double Hung <br />Casement Sliding Arched <br />Gothic Diamond Queen Anne Stained <br />Palladian <br />01 <br />02 03 05 <br />06 08 09 10 <br />12 <br />French Doors <br />Notable Frame /Trim Notable <br />Shutters /Btinds Other: <br />13 <br />15 <br />16 <br />51. <br />OUTBUILDINGS AND SUPPORT FEATURES (IF ESPECIALLY NOTABLE, YOU MAY COMPLETE A SEPARATE FORM) <br />1 2 3 <br />4 5 6 7 8 <br />9 10 <br />Type: <br />L g rot n111 ! / I <br />/ <br />l — — — — — — <br />— — — — <br />! <br />L <br />Construction: <br />Est Const Date: <br />I� <br />— — — <br />— — <br />Type: Kitchen <br />Slave House Other House <br />Garage Barn Tobacco Barn Smokehouse <br />Dairy Crib <br />01 <br />02 03 <br />05 07 08 10 <br />11 12 <br />Shed Privy Well Fence <br />Wall Cemetery landscape /Plant Material <br />Tenant House <br />20 23 24 27 <br />28 33 38 <br />53 <br />Construction: <br />Frame Log <br />Brick Stone Modern Materials <br />Iron /Metal <br />1 2 <br />3 4 5 <br />7 <br />Estimated Const <br />Date (SEE NO. 52 FOR DATE RANGES) <br />HISTORICAL DATA <br />52. DATE OF CONSTRUCTION: Estimated <br />Actual ,L <br />Pre -1780 <br />1781 -1800 1801 -1825 <br />1 <br />2 3 <br />1826 -1865 1866 -1885 1886 -1915 1916 -1930 <br />1931 -1945 <br />1946-1970 1971 -1999 <br />4 5 6 <br />7 <br />8 <br />9 10 <br />54. PERSONS OR EVENTS OF SIGNIFICANCE ASSOCIATED <br />W /THE PROPERTY: (CODE <br />LAST NAME FIRST; SEE <br />#52 FOR DATES) <br />A. Type: 0 4E Dater Name /Event: �(� <br />a (`. a. tq" <br />B. Type: — — Date: — Name /Event: <br />Type: Trad Builder /Craftsman Architect Contractor Attributed Builder Original owner <br />01 02 03 04 05 <br />Significant Later Owner Historically Significant Person Historically Significant Event <br />06 07 08 <br />ENYIROUWKTAL DATA <br />59. SETTING: J– Rural, Undisturbed Rural, Built up Small Town Urban, Population Over 12,500 <br />60. QUAD MAP USED: — — — 1 QUAD NAME: A Ad. tb 3 4 <br />61. UTM DATA (NR only): Zone — Zone: 16 17 18 Northing — — — — — — — Easting _, — — — — — <br />1 2 3 <br />RATIONAL REGISTER EVALLUITIOM (circle): Criteria A B C D Criteria Exception A a C D E F G <br />63. STATUS: (Refer to Manual) <br />64. CONTEXT /AREAS OF SIGNIFICANCE: — — — — — — — — Other: <br />65. LEVEL OF SIGNIFICANCE: Local State <br />r 1 .2 <br />66. FREE COMMENT: S1'1m -r ca rf /84c).3 -Z-, <br />National <br />/, - 4 .r) <br />