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NOTE: The following (Items 14-19) are for structures only. 14. Primary exterior building material: a. Stone El b. Brick El c. Stucco il d. Adobe El e. Wood E-' f. Other [-1 15. Is the structure: a. On its original site? 63 b. Moved? m c. Unknown? U As of 1900 this ho#Ff d'Me not al,Hear tpeEsESNPdt*JA. sessoris Records 16. Tear OT initial construction 1 is date is: a.-Factual 17. Architect(ifknown): 18. Builder(if known): 19. Related features: a. Barn Ed b. Carriage house El c. Outhouse El d. Shed(s) m e. Formal garden(s) L] f. Windmill Li] g. Watertower/tankhouse Ed h. Other Ll i. None Lim SIGNIFICANCE 20. Briefly state historical and/or architectural importance (include dates, events, and persons associated with the site when known): Unfortunately this house has been so greatly altered that one is hardly able to recognize it as an old home. - 21. Main theme of the historic resource: (Check only one): a. Architecture LE b. Arts & Leisure c. Economic/Industrial El d. Exploration/Settlement El e. Government EJ f. Military [3 g. Religion El h. Social/Education Fl 22. Sources: List books, documents, surveys, personal interviews, and their dates: Walking Survey 23. Date form prepared: By (name): Address: ZIP: City. Phone: Organization: (State Use Only) , OCR Text: NOTE: The following (Items 14-19) are for structures only. 14. Primary exterior building material: a. Stone El b. Brick El c. Stucco il d. Adobe El e. Wood E-' f. Other [-1 15. Is the structure: a. On its original site? 63 b. Moved? m c. Unknown? U As of 1900 this ho#Ff d'Me not al,Hear tpeEsESNPdt*JA. sessoris Records 16. Tear OT initial construction 1 is date is: a.-Factual 17. Architect(ifknown): 18. Builder(if known): 19. Related features: a. Barn Ed b. Carriage house El c. Outhouse El d. Shed(s) m e. Formal garden(s) L] f. Windmill Li] g. Watertower/tankhouse Ed h. Other Ll i. None Lim SIGNIFICANCE 20. Briefly state historical and/or architectural importance (include dates, events, and persons associated with the site when known): Unfortunately this house has been so greatly altered that one is hardly able to recognize it as an old home. - 21. Main theme of the historic resource: (Check only one): a. Architecture LE b. Arts & Leisure c. Economic/Industrial El d. Exploration/Settlement El e. Government EJ f. Military [3 g. Religion El h. Social/Education Fl 22. Sources: List books, documents, surveys, personal interviews, and their dates: Walking Survey 23. Date form prepared: By (name): Address: ZIP: City. Phone: Organization: (State Use Only) , Heritage Society of Pacific Grove,Historical Collections,Buildings by alpha folder,17 th st,130 17th,100 - 139 17TH ST_086.pdf,100 - 139 17TH ST_086.pdf Page 1, 100 - 139 17TH ST_086.pdf Page 1

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