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NPS Form 10-900 (Oct.1990) OMB No. 1024-0018 United States Department of the Interior National Park Service National Register of Historic Places Registration Form This form is for use in nominating
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Incomplete and N/A indicate that the property was not recorded in the Registry. If more than one property application is being submitted, each one shall be complete and signed. All applications should be submitted to the responsible Regional/National Park Service unit and should meet all statutory provisions for inclusion in the Registry. Each application shall also include a current inventory of artifacts and other material relating to the property being documented. The inventory shall be verified and verified by the National Park Service in accordance with applicable Federal and State law. Please contact the unit in charge of the property to obtain these reports. For additional information, see the contact information to the appropriate Regional/National Park Service unit. OMB Number: National Park Service Headquarters Washington, DC 20 NPS File Number: 072-026-067-4 National Park Service National Registry Number: R127-01 (April 1996) National Register Website: NPS Form 10-1200 (June 1990) OMB No. National Park Service Headquarters Washington, DC 20 National Register of Historic Places Registration Form for inclusion in the National Register of Historic Places. 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 National Register Bulletin 16B. Complete each item by marking x” in the appropriate box or by entering the information requested. If any item does not apply to the property being documented, enter N/A” for “not applicable. Incomplete and N/A indicate that the property was not recorded in the Registry. If more than one property application is being submitted, each one shall be complete and signed. All applications should be submitted to the responsible Regional/National Park Service unit and should meet all statutory provisions for inclusion in the Registry. Each application shall also include a current inventory of artifacts and other material relating to the property being documented. The inventory shall be verified and verified by the National Park Service in accordance with applicable Federal and State law. If additional information is needed to complete a nomination, see the contact information to the appropriate Regional/National Park Service unit.

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What is nps form 10 900?

National Register of Historic Places Registration Form This form is for use in nominating or requesting determinations for individual properties and districts.

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