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<br />Form 10-300 <br />(Rev. 6-72) <br /> <br />ST ATE: <br /> <br />UNITED STATES DEPARTMENT OF THE INTERIOR <br />NATIONAL PARK SERVICE <br /> <br />Wisconsin <br />COUNTY: <br />Dane <br /> <br />NATIONAL REGISTER OF H'ISTORIC PLACES <br />INVENTORY - NOMINATION FORM <br /> <br />FOR NPS USE ONLY. <br />ENTRY DATE <br /> <br />(Type all entries - complete applicable sections) <br /> <br /> <br />STREE_T ANQ NUMBER: <br />County Highway Zt one mile north of Daleyville <br /> <br />CITY OR TOWN; <br /> <br />CONGRESSIONAL DISTRICT: <br /> <br />Daleyville vicinity <br /> <br />Second <br /> <br /> <br />va <br /> <br /> CATEGORY <br /> (Check One) <br />0 Di stri ct DO Bui Jding 0 ~ublic <br />0 Site 0 Structure !Xl Private <br /> 0 Object 0 Both <br /> <br />an Occupied Yes: <br /> <br />o Unoccupied 0 Restricted <br />IX] Unrestricted <br />o Preservation work <br />o No <br /> <br />QWNERSHIP <br /> <br />ST A TUS <br /> <br />ACCESSIBLE <br />TO THE PUBLIC <br /> <br />z <br />o <br /> <br />, <br />Public Acquisition: <br />o In Process <br />o Being Considered <br /> <br />I- <br />U <br />=> <br />a::: <br />I- <br /> <br />in progres 5 <br /> <br />.P_R.ESEN",:,. ~~~ (Check One Or More as ApproprIate) <br />o Agricultural 0 Government 0 <br />o ,Commercial 0 Indu~trial 0 <br />o Educational 0 Military []I <br />o Entertainment ~ Museum 0 <br />jj{ttQWNjl:RI~:f~::~P)~P)~HUjmyt:::J:f:r:r:I::::l:{::::~:::?J:nt::::::::::(;\t::{:::::~::: ~:n . .... " <br /> <br />WNER'S NAME: <br /> <br />Park <br /> <br />Private Residence <br /> <br />o Transportation <br />o Other (Specf Iy) <br /> <br />o Comments <br /> <br />Religious <br /> <br />'" . -. ~ <br />....;:.,'... ..., J' ._".... <br />:-:j...-j'r'\:~ P .;'"(-'; '. <br />Il i..L.t. " /-'. ,. \ <br /> <br />va <br /> <br />Sci entifi c <br /> <br />;.:~-::::::;::)~r(tJ~;~~~~~~i~~f~)flIi~~~)~~::~~~~~~~~~~~j~~~~~~1~I\t~~}r~\~~~~~:~ <br /> <br />::.:::::::.:.:::.:::~;~ ~{t::~:::::.(.. ;.::.; <br /> <br />,"""....:'"": . ~. <br />:::.::,~~;;.~:::..; <br /> <br />z <br /> <br />J a 1974 <br /> <br /> UI <br /> ~ -l <br /> 1-'- )> <br /> en -l <br /> n ~ <br /> 0 <br /> ~ <br /> en <br />r:ODF 1-'. <br />~ <br />55 <br /> <br />w <br />w <br /> <br />Perry Lutheran Church <br />STREET AND NUMBER: <br /> <br />r~ /!.-. ;'~ r ('- ~~1 r {, <br />f<lGiS rL i.~ <br /> <br />Route 2 <br /> <br />.-':),. <br /> <br />va <br /> <br />CI TY OR TOWN: <br /> <br />STATE: <br /> <br />''<~''~~..'...''~"":"-[; : " -...., <br />-0-... i:~,>:\\-~ <br />Daleyville . .. Wis consi~ ... ..... ......... <br />~$:~rIttggAm!gNlg~\m:~Mlllg4~J;:ltttJ:e:T:~9fl::;t}:j::::~::::::t:::::t.\:::j~:::::::::hItt:rrm::::t::::/:::::::::~:r:@:j:::::j:r;::ttt:::::j:::rt:::r::::mtt::rj::::::f::\::::1:\::::f~::\:tft::::/::::::r:~:::~::mt:;~}I:::: <br />COURTHOUSE, REGISTRY OF DEEDS, ETC: <br /> <br />n <br />o <br />c <br />t:::1 z <br />Ql -l <br />fj 0( <br />I'D <br /> <br />Dane County Register of Deeds <br />STJ~EE T AND NUMBER: <br /> <br />210 Monona Avenue <br /><:;1 TY OR TOWN: <br /> <br />STATE <br /> <br />CODE <br /> <br />Madison <br /> <br />Wisconsin 53703 <br /> <br />55 <br /> <br /> <br />Wisconsin's Historic Preservation Plan, The Inventory <br />DATE OF SURVEY: 0 Federal .KJ State 0 County <br />DEPOSITORY FOR SURVEY RECORDS: <br /> <br />II <br />o <br />;0 <br />Z <br />"tl <br />V> <br />C <br />V> <br />m <br />o <br />Z <br />r <br />-< <br /> <br />State Historical Society of Wisconsin <br />STREET AND NUMBER: <br /> <br />816 State Street <br /> <br />CITY OR TOWN: <br /> <br />STATE: <br /> <br /> <br />Wisconsin 53706 <br />