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f t <br />10. Geographical Data <br />Acreage of Property <br />—M References <br />ace additional UTM references on a continuation sheet) <br />1 3 _ <br />Zone Easting Northing Zone Easting Northing <br />2 4 _ <br />❑ See continuation sheet. <br />Verbal Boundary Description <br />(Describe the boundaries of the property on a continuation sheet.) <br />Boundary Justification <br />(Explain why the boundaries were selected on a continuation sheet.) <br />11. Form Prepared By <br />name/title Todd Zeiaer <br />organization Historic Landmarks Foundation of Indiana <br />street & number 520 E. Colfax <br />city or town South Bend <br />Additional Documentation <br />Submit the following items with the completed form: <br />ntinuation Sheets ' <br />ps <br />date <br />telephone <br />state I N <br />June 1. 2001 <br />219-232-4534 <br />zip code 46617 <br />A USGS map (7.5 or 15 minute series) indicating the property's location. <br />A Sketch map for historic districts and properties having large acreage or numerous resources. <br />Photographs <br />Representative black and white photographs of the property. <br />Additional items <br />(Check with the SHPO or FPO for any additional items) <br />Property Owner <br />(Complete this item at the request of the SHPO or FPO.) <br />name Historic Landmarks Foundation of Indiana <br />street & number 340 W. Michigan telephone <br />city or town Indianapolis state IN zip code <br />46202-3204 <br />Paperwork Reduction Act Statement: This information is being collected for applications to the National Register of Historic Places to nominate properties for <br />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 <br />the National Historic Preservation Act, as amended (16 U.S.C. 470 et seq.). <br />Estimated Burden Statement: Public reporting burden for this form is estimated to average 18.1 hours per response including the time for reviewing instructions, <br />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, <br />Administrative Services Division, National Park Service, P.O.-,Box 37127, Washington; DC 20013-7127; and the Office of Management and Budget, Paperwork <br />Auctions Project (1024-0018), Washington, DC 20503. <br />