___________________ ___________________ Period of Significance ___________________ ___________________ ___________________ Significant Dates ___________________ ___________________ ___________________ Significant Person (Complete only if Criterion B is marked above.) ___________________ ___________________ ___________________ Cultural Affiliation ___________________ ___________________ ___________________ Architect/Builder ___________________ ___________________ ___________________ Statement of Significance Summary Paragraph (Provide a summary paragraph that includes level of significance, applicable criteria, justification for the period of significance, and any applicable criteria considerations.)
___________________ ___________________ Period of Significance ___________________ ___________________ ___________________ Significant Dates ___________________ ___________________ ___________________ Significant Person (Complete only if Criterion B is marked above.) ___________________ ___________________ ___________________ Cultural Affiliation ___________________ ___________________ ___________________ Architect/Builder ___________________ ___________________ ___________________ Statement of Significance Summary Paragraph (Provide a summary paragraph that includes level of significance, applicable criteria, justification for the period of significance, and any applicable criteria considerations.)