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NPS Form 10-900 OMB No. 100240018 <br />(Oct. 1990) <br />United States Department of the Interior <br />National Park Service <br />National Register of Historic Places <br />Registration Form <br />This form is for use in nominating or requesting determinations for individual properties of districts. See instructions in How to Complete the <br />National Register of Historic Places Registration Form (National Registration Bufletin 16A). Complete each item by marking "X" in the <br />appropriate box or by entering the information requested. If an item does not apply to the property being documented, enter "N/A" for "not <br />applicable." For functions, architectural classification, materials, and areas of significance, enter only categories and subcategories from the <br />instructions. Place additional entries and narrative items on continuation sheets (NPS Form 10-900a). Use a typewriter, word processor, or <br />computer, to complete all items. <br />1. Name of Prooertv <br />historic name: Leeper Park (Historic District) <br />other names/site number: N/A <br />;2. Location <br />street & number: Bounded by Bartlett St., Michigan Street, Park Lane, Lafayette Blvd. , East line of <br />properties to the west of Park Ave., and the St. Joseph River. Approximately 25 acres. <br />city or town: South Bend <br />state: Indiana code: IN county: St. Joseph code: 141 zip code: 46601 <br />3. State/Federal Aaencv Certification <br />As the designated authority under the National Historic Preservation Act, as amended, I hereby certify that this _nomination _request for <br />determination of eligibility meets the documentation standards for registering properties in the National Register of Historic Places and meets <br />the procedural and professional requirements set forth in 36 CFR Part 60. In my opinion, the property _ meets _does not meet the National <br />Register criteria. I recommend that this property be considered significant _nationally _statewide _locally (_See continuation sheet for <br />additional comments.) <br />Signature of certifying official/Title <br />State of Federal agency and bureau <br />Date <br />In my opinion, the property _meets _does not meet the National Register criteria (_See continuation sheet for additional comments.) <br />Signature of certifying officialf ritle <br />State or Federal agency and bureau <br />4. National Park Service Certification <br />I hereby certify that the property is: <br />_entered in the National <br />Register <br />_See continuation sheet <br />_determined not eligible for the National <br />Register <br />_removed from the National <br />Register <br />_other, (explain:) <br />0 <br />Signature of the Keeper <br />Date <br />Date of Action <br />