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OAHP1403 <br />Rev. 9/98 <br />COLORADO CULTURAL RESOURCE SURVEY <br />Architectural Inventory Form <br />(Page 1 of 5) <br />I. IDENTIFICATION <br />1. Resource number: <br />2. Temporary number: <br />3. County: <br />4. City: <br />5. Historic building name: <br />6. Current building name: <br />7. Building address: <br />8. Owner name: <br />Owner address: <br />5BL8007 <br />N/A <br />Boulder <br />Louisville <br />Lakovich House <br />All State Insurance Office <br />609 Main Street <br />Jane A. & Gary R. Salisbury <br />609 Main Street <br />Louisville, CO 80027 <br />II. GEOGRAPHIC INFORMATION <br />9. P.M. 6th Township 1S Range 69W <br />SW'/4 of SW% of NE'/4 of SE% of section 8 <br />10. UTM reference <br />Zone 13 <br />Easting: 488760 <br />Northing: 4424920 <br />11. USGS quad name: Louisville, Colorado <br />Year: 1965 (Revised 1994) 7.5' <br />12. Lot(s): 25 Block: 5 <br />Addition: Original Town eYear of Addition 1878 <br />13. Boundary Description and J ification: This legally defined <br />parcel encompasses but does not exceed the land historically <br />associated with this property. <br />22. Architectural style / <br />building type: <br />Hipped -Roof Box <br />Official Eligibility Determination <br />(OAHP use only) <br />Date Initials <br />_Determined Eligible - National Register <br />Determined Not Eligible - National Register <br />Determined Eligible - State Register <br />Determined Not Eligible - State Register <br />Needs Data <br />Contributes to eligible National Register District <br />Noncontributing to eligible National Register District <br />III. ARCHITECTURAL DESCRIPTION <br />14. Building plan (footprint, shape): <br />Rectangular Plan <br />15. Dimensions in feet: 782 square feet <br />16. Number of stories: one <br />17. Primary external wall material <br />Wood / Vertical Siding <br />18. Roof figuration (enter one): <br />oof <br />1(•``�19. ary external roof material (enter one): <br />�Asphalt Roof <br />20. Special features (enter all that apply): <br />Porch <br />Chimney <br />Fence <br />