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1. Rating <br />El Outstanding ❑ Significant /Notable Contributing C/10 <br />14. Historic Name <br />Maurice ,& Florence Kahn <br />8. Address <br />1069 Riverside Dr. <br />u <br />Martin & Jane Murphy <br />12. Ownership Owner's Address (if different) <br />❑ Public [N Private <br />2. County 3. Survey No. <br />St. Joseph 3A��a8' <br />5. Township Preliminary No. <br />Portaq_ e 1° 1e_ r <br />7. City 8. Quad Name <br />South Bend, 'IN 4h1616 <br />State of Indiana Department of Natural Resources State Form 168221 Revised 1986 <br />11. Endangered <br />Igl Yes ❑ No ❑ Yes X1 No <br />13.'Use <br />Present Past <br />14. Category <br />15. Surveys / Legal Protections <br />Residence <br />t <br />CX <br />DC7 .Building(s) <br />Riverside Loc. iii s. Di s. <br />Commercial <br />'❑ <br />❑ <br />❑ District <br />❑ <br />❑ <br />❑ Site <br />❑ <br />❑ <br />❑ Structure <br />El Object <br />19. Time Period(s) <br />(Dates) <br />20. Style(s) <br />1909 <br />American Foursquare <br />I Removals <br />Replacement <br />23. DESCRIPTION <br />Al 1 <br />Explain <br />16. Location Notes / Legal Description <br />20' east side Lot 81, 20' west <br />side Lot 80, Shetterly Place 3rd <br />1-8-1061-2579 <br />22. SPECIFY ALTERATIONS <br />I Additions <br />Stories 2-1, <br />Plan Squai e... <br />IFoundation Concrete <br />Iwaiis, stucco with wood trim <br />IRoof high hip with hip roof dormers., asphalt shingles <br />(Porches full front porch, has frame for en-closina. hid- is open <br />I <br />`Openings dbl hung - 1/1, wood surrounds; 12 light attic window <br />sing of -wood; porch entry has side & transom blends <br />IGrounduildings <br />I21. Architect / Builder <br />1l. C;ondition <br />X] Excellent <br />❑ Good <br />❑ Fair <br />❑ Deteriorated <br />❑ Ruins <br />Other <br />24. SITE PLAN <br />f <br />18. Building Integrity <br />M Unaltered <br />❑ Altered <br />❑ Moved <br />Date Building was moved <br />1 <br />N <br />