State Antiquities Landmark Nomination Form - Texas Historical Commission Page 2

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State Antiquities Landmark Form
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Buildings, structures, objects, districts, and non-archeological sites (check all that apply)
Building (must be listed in National Register of Historic Places)
Individually listed
Contributes to significance of a listed district
Structure (must be listed in National Register of Historic Places)
Individually listed
Contributes to significance of a listed district
Site
Object
District (must be listed in the National Register of Historic Places if buildings or structures are included)
Criteria for buildings, structures, non-archeological sites, objects (check all that apply):
The property is associated with events that have made a significant contribution to the broad patterns of our history,
including importance to a particular cultural or ethnic group;
The property is associated with the lives of persons significant in our past;
The property embodies the distinctive characteristics of a type, period, or method of construction, represents the work of
a master, possesses high artistic values, or represents a significant and distinguishable entity whose components may lack
individual distinction;
The property has yielded, or may be likely to yield, information important in Texas culture or history;
4. Geographic Data
Archeological properties (including shipwrecks)
UTM Zone ______________ NAD datum ______________
NE Corner
Easting _______________________ Northing _______________________
SE Corner
Easting _______________________ Northing _______________________
SW Corner
Easting _______________________ Northing _______________________
NW Corner
Easting _______________________ Northing _______________________
Site Centroid
Easting _______________________ Northing _______________________
USGS quad name and number ________________________________________
Acreage of nominated property________________________________________
Attach USGS map with boundary and UTM coordinates or shapefiles
Description of Site
Location: ____________________________________________________________________________________________
Site Type and Cultural Affiliation: ________________________________________________________________________
Buildings/Structures, or Districts with Buildings/Structures
Attach scale map with boundary (survey map preferred)
Attach deed or legal description. Indicate here if:
Deed
Metes and bounds
Block & Lot description with plat map
Survey map
Written boundary description (with reference to landmarks, property boundaries, and/or other fixed points)
Indicate if boundary is the same as in the National Register nomination

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