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<br /> ß ,. /C ~/ . ~ 'Ö / <br /> , /:/C¿-<.<1..<.€,;/ <br /> TEXAS HISTORIC PRESERVATION . 1:exas W~orical Commission <br /> GRANT PROGRAM P.O. Box 12276 <br /> PRE-APPLICATION: SUMMER 1989 Austin, Texas 78711 <br /> FOR FISCAL YEAR 1990 <br /> PART A, GENERAL INFORMATION <br /> (Please type or print in ink) <br /> I. Property Name Property Name ~fŠ:. CAL.~Oð1SlšE. <br /> And Location Address ~eLl ~~Df{i ~e,uR6 ~ ,0l--\.4l.. 5,-S. <br /> City. . '5<:\ ~ M ."'~ Q) S. County ~AY.:5 <br /> U.S. Congressional District Number <br /> State Senatorial District Number <br /> State Representative District Number <br /> <br /> II. Historical Designation 0 National Historic Landmark <br /> (check all which apply) 0 National Register (individually listed) <br /> 0 National Register District (located within) <br /> ~ Name of District <br /> Recorded Texas Historic Landmark <br /> 0 Historic County Courthouse (pre-1941) <br /> III. Ownership Name~. '. c..,t4 OT ~:fi'\ I~~~'~~ <br /> <br /> Address. . Lø 0 F. I::f ' 't'\ <br /> ,Ç}~YI Stat~!iip èode 'Sa J'\ ,'Ma.("CD~ ":IX. ,.7SJ.£.'~ <br /> Telephone Area Code S I;¡ Number ~ß ~ .4ctt./t.¡ <br /> <br /> IV, Applicant Name <br /> (if different Address <br /> from owner) City/ State! Zip Code <br /> Telephone Area Code - Number <br /> <br /> V, Applicant's ¡!('Politieal suhdivision; or <br /> Status (check one) 0 501 organization (attach copy of IRS notice of 501 status) <br /> VI. Applicant's Name -.JefFr-ey ~Síe¡<2. <br /> nepresentative Address '5 ~ w. \-+$¡¿iN <7 ST. "$LlLTí'= c.. <br />,,-, ' <br />,c- : __,I ""~-,'-) , (liaison person with City State Zip Code AfJ fJIA:RL-ð$¡ í-)£ '1 gc"€>,, <br /> the Commission) Tdcphonc Area Code C; 1'2. Numher 3;; -~3~ q <br />~,.., <br /> VII, Applicant's:\ latch A. Funds Presently Committed for this Phase of Work: <br /> (must he at least two- <br /> thirds of project cost Source: A mount: Date Availahlc: <br /> and a\'ailahle at time l5¡Oét7 A=.e, i '11 0 <br /> of 'ôuhmìssion of CrN ðr ~ ~ S <br /> Project Arplication S <br /> itself) S <br /> SUBTOTAL S <br />