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� . ,., ; s:: a.:,'x ^,a:{ ;.S ' ui ::Js;. . .. :,. ytcg;. •r^. ._ b.s�iSS `•iif � �r fat' ` : ct-, � ; <br /> 4:a.' :sFu.",ih. T S:: .,..�•nrL..._:y8�:'.riwr�.:a I ; '7Yg:wBt�• i �C43' .>r; ' _ ..fir_. .: " 1 r..., y L7,Y'i tAWL <br /> KiiB3ik iiG Csiiirii 711}.}e"rx`Sitiii � : ) s' 6iA` ' S — ` <br /> 41 . CHIMNEY STATUS : A 1 B _ ( Originate Partially Rebuilt Replaced Removed/ Fallen <br /> 2 3 4 <br /> 42 , CHIMNEY PLACEMENT : A B / Other : <br /> Interior Interior End Exterior End Exterior Front Interior Rear Exterior Rear <br /> 2 4 5 6 7 <br /> 46 . WINDOW STATUS : A ,L B — C — #Orig n l j Altered <br /> 47 . WINDOW FEATURES : All B _ _ C _ _ Sashes , <br /> Double Hung Casement Sliding Arched Gothic Diamond Queen Anne Stained Palladian <br /> 01 02 03 05 Ob 08 09 10 12 <br /> French Doors Notable Frame/ Trim Notable Shutters / Blinds Other : <br /> 13 15 16 <br /> 51 . OUTBUILDINGS AND SUPPORT FEATURES ( IF ESPECIALLY NOTABLE , YOU MAY COMPLETE A SEPARATE FORM ) <br /> 1 2 3 4 5 6 7 8 9 10 <br /> Type — — _- — — -- — --. — — — — — — — — — — -- — <br /> Construction : <br /> Est Const Date : <br /> Type : Kitchen Stave House Other House Garage Barn Tobacco Barn Smokehouse Dairy Crib <br /> 01 L 02 03 05 07 08 10 11 12 <br /> Shed Privy Well Fence Wall ., Cemetery Landscape/ Plant Material Tenant House <br /> 20 23 24 27 28 33 38 53 <br /> Construction : Frame Log Brick Stone Modern Materials Iron/ Metal <br /> 1 2 3 4 5 7 <br /> Estimated Const Date ( SEE NO . 52 FOR DATE RANGES ) <br /> HISTORICAL DATA <br /> 52 . DATE OF CONSTRUCTION : Estimated Actual — — — — Pre - 1780 1781 - 1800 1801 - 1825 <br /> 1 2 3 <br /> 1826 - 1865 1866 - 1885 1886 - 1915 1916 - 1930 1931 - 1945 1946 - 1970 1971 - 1999 <br /> 4 5 � 7 8 9 10 <br /> 54 . PERSONS OR EVENTS OF SIGNIFICANCE ASSOCIATED W/ THE PROPERTY : ( CODE LAST NAME FIRST ; SEE #52 FOR DATES ) <br /> A . Type : — Date : i Name / Event : <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 /> ENVIRONMENTAL DATA _� _--- •-••__ . _ _ <br /> 59 . SETTING : Rural , Undisturbed / Rural , Built p� Small Town Urban , Population Over 12 , 500 <br /> 1 2 r� 3 4 <br /> 60 . QUAD MAP USED : _ _ _ QUAD NAME : � %s':% -��- �-- -�_' ' /•�' � 10* i � ' 'r <br /> 61 . UTM DATA ( NR only ) _ Zone — Zone : 16 17 18 Northing — _ _ — — — — Easting - <br /> 1 2 3 <br /> ►NATIONAL REGISTER EVALUATION ( circle ) : Criteria A B C D Criteria Exception A B 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 National <br /> 66 . FREE COMMENT * <br />