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PAGE 2 PRELIMINARY PROPERTY EVALUATION FORM Blair Historic Properties Registry ARCHITECTURAL DESCRIPTION (remember to provide photographs of the
building with this form): CONSTRUCTION HISTORY (include description and dates of major additions, alterations, or demolitions): ____additional page(s) HISTORICAL BACKGROUND (discuss important persons and events associated with this building): ____additional page(s) INFORMATION SOURCES (be specific): ____additional page(s) SIGNIFICANCE (check appropriate categories) Architectural significance: Historical significance: [ ] represents the work of a master [ ] associated with significant person(s) [ ] possess high artistic value [ ] associated with significant event [ ] represents a type, period, [ ] associated with a pattern of events or method of construction [ ] contributes to a historic district STATEMENT OF SIGNIFICANCE (briefly justify the significance checked above): ____additional page(s) FORM COMPLETED BY NAME: ADDRESS: Email Address: |