State Antiquities Landmark Form
Page 2 of 4
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Buildings, structures, objects, districts, and non-archeological sites (check all that apply)
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Building (must be listed in National Register of Historic Places)
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Individually listed
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Contributes to significance of a listed district
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Structure (must be listed in National Register of Historic Places)
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Individually listed
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Contributes to significance of a listed district
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Site
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Object
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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):
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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;
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The property is associated with the lives of persons significant in our past;
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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;
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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:
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Deed
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Metes and bounds
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Block & Lot description with plat map
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Survey map
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Written boundary description (with reference to landmarks, property boundaries, and/or other fixed points)
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Indicate if boundary is the same as in the National Register nomination