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DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT, MARYLAND HISTORICAL TRUST (Historic Sites Survey) var.d. MSA SE16-5 Image No: se16-5-0226 Enlarge and print image (40K) |
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DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT, MARYLAND HISTORICAL TRUST (Historic Sites Survey) var.d. MSA SE16-5 Image No: se16-5-0226 Enlarge and print image (40K) |
| Salmon/Stphlman House__________________Montgomery County. MD_________ Name of Property County and State 11. Form Prepared By_____________________________________ Name/title Kimberly Prothro Williams______________________________ Organization___________ Date October 2001_____ Street & Number 9120 LeVelle Drive_____ Telephone 301 907-3435 City or Town Chevy Chase______ State MD Zip code 20815_____ Additional Documentation______________________________ Submit the following items wifli the completed form: [X] Continuation Sheets Maps [X] 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 [X] Representative black and white photographs of the property. Additional items (Check with the SHPO or FPO for any additional items) [X] Figures (architectural drawings) [ ] Historical photographs Property Owner____________________________________________ (Complete this item at the request of the SHPO or FPO.) name James Brian Graham. Trustee for the J.B.G. Revocable Trust and Victoria Clarke. Trustee for the V.C. Revocable Trust.________________________________________ street & number 4728 Dorset Ave______ telephone (301) 913-9260________ city or town Chevy Chase_________ state MD___ zip code 20815_______ 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 fisting, to fist 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 etseq.) Estimated Burden Statement Public reporting burden for this form is estimated to average 18.1 hours per response including time for reviewing instructions, gathering and maintaining data, and completing and reviewing the form. Direct comments regarding this burden estimate or any aspect of this form to the Chief, Administrative Services Division, National Park Service, P.O. Box 37127, Washington, DC 20013-7127; and the Office of the Management and Budget, Paperwork Reductions Projects (1024-0018), Washington, DC 20503. |