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National Register of Historic Places Registration Form

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National Register of Historic Places Registration Form NPS Form 10-900 _ •••-•-'-•feu ££&$ OMB No. 1024-0018 (Rev. Aug. 2002) ' " ——————— f (fjxpires 1-31-2009) United States Department of the Interior National Park Service National Register of Historic Places Registration Form This form is for use in nominating or requesting determinations for individual properties and districts. See instructions in How to Complete the National Register of Historic Places Registration Form (National Register Bulletin 16A). Complete each item by marking "x" in the appropriate box or by entering the information requested. If an item does not apply to the property being documented, enter "N/A" for "not applicable." For functions, architectural classification, materials, and areas of significance, enter only categories and subcategories from the instructions. Place additional entries and narrative items on continuation sheets (NPS Form 10-900a). Use a typewriter, word processor, or computer, to complete all items. 1. Name of Property historic name Christie, Dr. George R., House other names/site number N/A 2. Location street & number 151 Street South D not for publication N/A city or town Long Prairie vicinity N/A state Minnesota code MN county Todd code 153 zip code 56347 3. State/Federal Agency Certification As the designated authority under the National Historic Preservation Act, a s amended, I hereby certify that this ^nomination D request for determination of eligibility meets the documentation standards for register! ig properties in the National Register of Historic Places and meets the procedural and professional requirements set forth in 36 CFR Part 60. In ITly opinion, the property [x] meets D does not meet the National Register Criteria. I recommend that this property be considered significant Dnationally Qstatewide [3 locally. (QSee continuation sheet for additional comments.) i 10 && Signature of certifying official Date £) Britta L. Bloomberg, Deputy State Historic Preservation Officer, Minnesota Historical Society State or Federal agency and bureau In my opinion, the property Q meets D does not meet the National Register criteria. (D See continuation sheet for additional comments.) Signature of certifying official/Title Date State or Federal agency and bureau 1 ——— ^ ———————————————————————J ————————————————————————————————————————————————— 1 itional Park Service Certification I hereby certify that this property is: Date of Action entered in the National Register. D See continuation sheet. D determined eligible for the National Register. D See continuation sheet. D determined not eligible for the National Register. D removed from the National Register. D other, (explain): Dr. George R. Christie House Todd County MN Name of Property County and State 5. Classification Ownership of Property Category of Property Number of Resources within Property (Check as many boxes as apply) (Check only one box) (Do not include previously listed resources in the count) CH private $3 building(s) Contributing Noncontributing E] public-local Gl district _____3______________ buildings D public-State Dsite ____________________ sites D public-Federal D structure ____________________ structure D object ____________________ objects 3 Total Name of related multiple property listing Number of contributing resources previously (Enter "N/A" if property is not part of a multiple property listing. listed in the National Register N/A 0 6. Function or Use Historic Functions Current Functions (Enter categories from instructions) (Enter categories from instructions) DOMESTIC: Single Dwelling RECREATION & CULTURE: museum HEALTH CARE: Clinic: Doctor's Office 7. Description Architectural Classification Materials (Enter categories from instructions) (Enter categories from instructions) Late 19th and 20th Century Revivals: Classical Revival Foundation: stone; concrete Walls: wood; concrete Roof: wood shingle; asphalt Other Narrative Description (Describe the historic and current condition of the property on one or more continuation sheets.) See continuation sheets Dr. George R. Christie House Todd County MN Name of Property County and State 8. Statement of Significance Applicable National Register Criteria Areas of Significance (Mark "x" in one or more boxes for the criteria qualifying the property (Enter categories from instructions) for National Register listing) Health/Medicine D A Property is associated with events that have made a significant contribution to the broad patterns of our history. El B Property is associated with the lives of persons significant in our past. D C Property embodies the distinctive characteristics of a type, period, or method of construction or represents the work of a master, or possesses high artistic values, or represents a significant and distinguishable entity whose components lack Period of Significance individual distinction. 1901-1947 D D Property has yielded, or is likely to yield information important in prehistory or history. Criteria Considerations Significant Dates (Mark "x" in all the boxes that apply.) 1901 Property is: D A owned by a religious institution or used for religious purposes. Significant Person D B removed from its original location. (Complete if Criterion B is marked above) D C a birthplace or a grave. Christie, Dr. George R.______ D D a cemetery. Cultural Affiliation N/A D E a reconstructed building, object, or structure. D F a commemorative property. Architect/Builder D G less than 50 years of age or achieved significance Smith, C. W. (builder) within the past 50 years. Narrative Statement of Significance (Explain the significance of the property on one or more continuation sheets.) 9. Major Bibliographical References Bibliography (Cite the books, articles, and other sources used in preparing this form on one or more continuation sheets.) Previous documentation on file (NPS): Primary location of additional data: d preliminary determination of individual listing (36 [3 State Historic Preservation Office CFR 67) has been requested, D Other State agency n previously listed in the National Register D Federal agency D previously determined eligible by the National Register D Local government D designated a National Historic Landmark D University D recorded by Historic American Buildings Survey E3 Other #_____ Name of repository: D recorded by Historic American Engineering Todd County Historical Society____ Record #___ Dr. George R. Christie House Todd County MN Name of Property County and State 10. Geographical Data Acreage of Property Approximately .75 acres UTM References (Place additional UTM references on a continuation sheet) 1. 5 560 2 |5|0|9|2|6|2|3 Easting Northing 2. 3. Easting Northing 4. Verbal Boundary Description (Describe the boundaries of the property on a continuation sheet.) Boundary Justification (Explain why the boundaries were selected on a continuation sheet.) 11. Form Prepared By name/title Daniel J. Hoisington organization date 1 August 2006 street and number P. O. Box 13790 telephone 651-415-1034 city or town Roseville_____ state MN zip code 55113____ Additional Documentation Submit the following items with the completed form: Continuation Sheets Maps A USGS map (7.5 or 15 minute series) indicating the property's location. A Sketch map for historic districts and properties having large acreage or numerous resources. Photographs Representative black and white photographs of the property. Additional items (Check with the SHPO or FPO for any additional items) Property Owner______________________________________________ (Complete this item at the request of the SHPO or FPO.) name Christie Home Historical Society street & number 15 1st Street South telephone ____ city or town Long Prairie state MN zip code 56347 Paperwork Reduction Act Statement: This information is being collected for applications to the National Register of Historic Places to nominate properties for listing or determine eligibility for listing, to list properties, and to amend existing listings. Response to this request is required to obtain a benefit in accordance with the National Historic Preservation Act, as amended (16 U.S.C. 470 et seq.). A federal agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid OMB control number. Estimated Burden Statement: Public reporting burden for this form is estimated to range from approximately 18 hours to 36 hours depending on several factors including, but not limited to, how much documentation may already exist on the type of property being nominated and whether the property is being nominated as part of a Multiple Property Documentation Form. In most cases, it is estimated to average 36 hours per response including the time for reviewing instructions, gathering and maintaining data, and completing and reviewing the form to meet minimum National Register documentation requirements. Direct comments regarding this burden estimate or any aspect of this form to the Chief, Administrative Services Division, National Park Service, 1849 C St., NW, Washington, DC 20240. NFS Form 10-900 OMB No. 1024-0018 (Rev. Aug. 2002) (Expires 1-31-2009) United States Department of the Interior National Park Service National Register of Historic Places Christie, Dr. George R. House____________________ Continuation Sheet Name of property Todd County, Minnesota County and State Section 7 Page 1 7. Narrative Description. The Dr. George R. Christie House is located at 15 1 st Street South in Long Prairie, a small town of 3,040 in central Minnesota. The property is located on the southwest
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