New Mexico State Register of Cultural Properties

Property Number: entered by HPD

LA Numbers(s):

HCPI Number(s):

APPLICATION FOR REGISTRATION

NEW MEXICO STATE REGISTER OF CULTURAL PROPERTIES

Historic Preservation Division

BataanBuilding

407 Galisteo Street, Suite 236

Santa Fe, New Mexico 87501

(505) 827-6320

1.Name of Property:

Other Name(s) for Property:

2.Location of Property:

County: Congressional District:

Municipality: Vicinity of:

Address or Rural Location:

Not for Publication: Zip:

3. Ownership of Property: (Check one or more as appropriate)

Private: State: Federal: Multiple:

Name:

Address: Zip:

Name:

Address: Zip:

Occupant, Tenant, Manager, or Contact:

Name:

Address: Zip:

4. Accessibility of Property:

Open to Not OpenVisible from a

the Public: to the Public: Public Thoroughfare:

5.Location of Legal Description for Property:

Courthouse, Deed Registry, etc.:

Street and Number:

City, Town, Zip Code:

6.Category of Property:

District: Buildings: Structure: Site:

Object: Collection: Other (Specify):

Historic District:

7.Present Use of Property: (Check one or more as appropriate)

Agricultural:Governmental:Museum:Scientific:

Commercial:Grazing:Park:Transportation:

Educational:Industrial:Residential:Work in Progress

Entertainment:Military:Religious: Other (Specify):

FORM A

APPLICATION FOR REGISTRATIONPage 2

8.Present Condition of Property: (Check one or more as appropriate)

Excellent: Deteriorated: Altered: Moved:

Good: Ruins: Unaltered: Date Moved:

Fair: Unexposed: Vandalized:

9.Present and Original Physical Appearance of Property: Provide a detailed description of the archaeological and/or architectural features present, include construction dates, dates of significant alterations, extent of any vandalism, etc. Use one or more of the following continuation sheets.

10.Summary of Property Data:

Period of Significance:

Significant Dates:

Culture/Period/Phase:

Architect/Builder:

11. Thematic Classification(Check one or more as appropriate)

Archaeology-Economics:Philosophy:

Prehistoric:Education:Politics/

Archaeology-Engineering:Government:

Historic:Exploration:Religion:

Agriculture:Industry:Science:

Architecture:Invention:Sculpture:

Art:Landscape-Settlement:

Commerce:Architecture:Social/

Communications: Law:Humanitarianism:

Community-Literature:Theater:

Planning:Military:Transportation:

Conservation:Music:Other (Specify):

12.Historical and developmental history of Property: Trace the history of the property through primary, if possible, and secondary sources. Focus on significant events as well as the day-to-day experiences of people associated with the property. If a farm, for example, what crops were grown? Also explain physical changes to the buildings and overall property so that its current appearance can be understood. Use one or more of the following continuation sheets.

13. Bibliographical References: Use a continuation sheet.

14.Geographical Information: Map Reference: Provide a USGS 7.5' Quad, plat maps, or Google maps that clearly show the location of the property in relation to visual landmarks, such as named roads. Submit additional maps that show the proposed property, historic resources associated with the proposed property (such as outbuildings, acequias, or landscape features), and the proposed boundary for the State Register listing.

Legal Description: (Describe to the nearest 1/4 1/4 1/4 Section (10 acres))

Township:Range:Section:Subdivision:

Lot:Block:Plat:

Acreage of Property:

Latitude/Longitude Coordinates (carried six decimal places to the right):

A. ______

B.______

C. ______

D. ______

Acreage of Property:

15.Additional Geographical Data:

Verbal Boundary Description: (Describe the boundaries of the property)

Verbal Boundary Justification: (Explain why the boundaries were selected)

FORM A

APPLICATION FOR REGISTRATIONPage 3

16.Photographs: Provide recent photographs that show all sides of the main building, its immediate setting, and associated buildings and structures. Include photos of principal interior spaces. If available, send copies of historic photographs of the property. Photos should be submitted at 6 megapixel files with minimum dimensions of 3,000 by 2,000 pixels at 300 dpi and include both JPEG and larger TIFF format images. Include a floor plan and/or site plan with photos keyed by number, which indicate the direction from which the view was taken. Include a photo log below that describes the subject of each photo. Photos, because of their file size, will need to be submitted on disk

17. Future Research Questions: (If applicable, develop a list of questions that could be pursued by future researchers)

18. Application Submitted By:

Name:Date:

Organization:

Address:

Zip:Phone:

Inventory Data By: Date:

19. National Register Eligibility:

Yes: No:

Criteria A: B: C: D:

Area(s) of Significance:

This Space for Cultural Properties Review Committee Use Only

Date Application Received: Complete: Incomplete:

Committee Action:

State Register:Tabled:Date:

National Register Recommendation: Rejected:

Approved:

Committee Chairman: Date:

Comments:

APPLICATION FOR REGISTRATIONFORM A

NEW MEXICO STATE REGISTER OF CULTURAL PROPERTIESRevised 05/18/07

CONTINUATION SHEET

Property:

Section: 9 Page: 1

Present and Original Physical Appearance of Property

Significance of Property

Bibliographical References

Recommended format:

Peffer, E. Louise. The Closing of the Public Domain: Disposal and Reservation Policies, 1900-50. Stanford, Cal.: StanfordUniversity Press, 1951.

Photographs

The following information pertains to all photographs unless otherwise noted:

Name of Property:

Location:

Photographer:

Date taken:

Location of Negatives: New Mexico Historic Preservation Division, Santa Fe

Recommended format:

Photograph 1 of 7

Front elevation

Camera facing south