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Blair Historic
Properties Registry
a project of the
Blair Historic Preservation
Alliance
Blair, Nebraska
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HISTORIC PROPERTY NAME(S):
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CURRENT PROPERTY NAME:
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LOCATION: (i.e. 17th & Lincoln Streets)
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PROPERTY ADDRESS: (i.e. 210 S. 17th Street)
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CURRENT OWNER NAME & ADDRESS:
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ORIGINAL OWNER:
Source of information:
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SUBSEQUENT OWNERS: (dates is available)
Source of information:
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HISTORIC USE(S): (dates is available)
Source of information:
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PRESENT USE:
PLAN SHAPE:
north arrow
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CONSTRUCTION
DATE:
estimate date:
actual date:
construction costs:
Source of information:
ARCHITECT:
BUILDER/CONTRACTOR:
Source of information:
PRIMARY EXTERNAL MATERIALS:
Notes of Condition and
maintenance:
STORIES:
BUILDING DIMENSIONS:
LEGAL LOCATION:
P.M.: ___ Township:
___ Range: ___
__ ¼ of __ ¼ of __ ¼ of __ ¼ of Section:___
Year:
Lot(s):
Block:
Addition:
Year of addition:
[ ] original location
[ ] moved
Date of move(s):
RESEARCH CONSENT:
[ ] Verbal
Requires written consent [ ] Yes [ ] No
May this property be listed on a
public registry? [ ] Yes [ ] No
Person Giving Consent:
[ ] Owner [ ] Other:
Person Requesting:
Date Consent Given: |