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OM8 No. 10240018 Exp. 103184NPS Form 10900 042)United States Department of the Interior National Park ServiceNow NPS UM onlyNational Register of Historic Places Inventory Nomination Form See instructions

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How to fill out 1 name: 1. Start by entering your first name in the designated field. 2. Then, provide your last name in the appropriate space.

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How to fill out 2 location: 1. Begin by entering the name of the city or town where you currently reside. 2. Next, provide the name of your state or province, followed by your country.

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