OHP Official Use Only Section 1

The OHP has reviewed the Initial Application Section 1 for the property above and has confirmed it:

is listed individually or contributes to the above-named district on the California Register and is a “certified historic structure” for rehabilitation purposes. is not listed on the California Register or has been determined as a non-contributor to a District. SIGN Date OHP Comments attached Julianne Polanco, State Historic Preservation Officer OHP Official Use Only Section 2 The OHP has reviewed the Initial Application Section 2 for the above-named property and has determined that: the rehabilitation described herein is consistent with the historic character of the property and/or with the district in which it is located and that the project meets the Standards for Rehabilitation. This letter is a preliminary determination only, since formal certification of rehabilitation can be issued only to the owner after rehabilitation completion.

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4. Section 1 Confirmation of California Register Listing [type 'X' in applicable boxes]

• The building contributes to the significance of the above named historic district or is individually listed in the California Register for rehabilitation purposes.

Documentation that the building is submitted for a Federal Tax Credit Part 1 "Evaluation of Significance" and will continue state review once signed and returned by the NPS. Documentation of California Register listing or approved signed Federal Part 1 form is attached.

Part 1 received by OHP: Part 1 approved by NPS: