Montana Historic Property Record
Total Page：16
File Type：pdf, Size：1020Kb
MONTANA HISTORIC PROPERTY RECORD For the Montana National Register of Historic Places Program and State Antiquities Database
Montana State Historic Preservation Office Montana Historical Society PO Box 201202, 1410 8th Ave Helena, MT 59620-1202
Property Address: Site Number: (An historic district number may also apply.) Historic Address (if applicable):
City/Town: County:
Historic Name: Legal Location
Original Owner(s): PM: Montana Township: Range:
Current Ownership Private Public ¼ ¼ ¼ of Section:
Current Property Name: Lot(s):
Owner(s): Block(s):
Owner Address: Addition: Year of Addition:
USGS Quad Name: Year: Phone:
Historic Use: UTM Reference www.nris.mt.gov
Current Use: NAD 27 or NAD 83(preferred)
Construction Date: Estimated Actual Zone: Easting: Northing:
Original Location Moved Date Moved:
National Register of Historic Places Date of this document:
NRHP Listing Date: Form Prepared by:
Historic District: Address:
NRHP Eligible: Yes No Daytime Phone:
MT SHPO USE ONLY Comments: Eligible for NRHP: □ yes □ no Criteria: □ A □ B □ C □ D Date: Evaluator: MONTANA HISTORIC PROPERTY RECORD PAGE 2 Architectural Description Property Name: Site Number:
ARCHITECTURAL DESCRIPTION
Architectural Style: American 4-Square If Other, specify: Property Type: Agriculture Specific Property Type:
Architect: Architectural Firm/City/State: Builder/Contractor: Company/City/State: Source of Information:
MONTANA HISTORIC PROPERTY RECORD PAGE 3 History of Property
Property Name: Site Number:
HISTORY OF PROPERTY MONTANA HISTORIC PROPERTY RECORD PAGE 4 Information Sources/Bibliography
Property Name: Site Number:
INFORMATION SOURCES/BIBLIOGRAPHY MONTANA HISTORIC PROPERTY RECORD PAGE 5 Statement of Significance
Property Name: Site Number:
NATIONAL REGISTER OF HISTORIC PLACES
NRHP Listing Date: NRHP Eligibility: Yes No Individually Contributing to Historic District Noncontributing to Historic District NRHP Criteria: A B C D Area of Significance: Period of Significance:
STATEMENT OF SIGNIFICANCE MONTANA HISTORIC PROPERTY RECORD PAGE 6 Integrity
Property Name: Site Number:
INTEGRITY (location, design, setting, materials, workmanship, feeling, association) MONTANA HISTORIC PROPERTY RECORD PAGE 7 Photographs
Property Name: Site Number:
Feature # Description: Facing:
Feature # Description: Facing: MONTANA HISTORIC PROPERTY RECORD PAGE 8 Site Map
Property Name: Site Number: MONTANA HISTORIC PROPERTY RECORD PAGE 9 Topographic Map
Property Name: Site Number: