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Site Inventory Form State Historical Society of Iowa (November 2005)State Inventory No. 0901445 New Supplemental Part of a district with known boundaries (enter inventory no.) 0900621 Relationship:
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Historic Name Cross Laverne is a form used to report any changes in an entity's historic name.
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Entities with historic names are required to file Historic Name Cross Laverne.
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The form requires reporting of previous historic name, new historic name, date of name change, reason for change, and signature of authorized individual.
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