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N E W Y O R K S T A T E H O U S I N G F I N A N C E A G E N C Y - page 6 / 6

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list major alterations and dates (if known)______________________________

12.  PHOTO:13.  MAP:

14.  THREATS TO BUILDING:   a. none known      b. zoning        c. roads        

d. developers   e. deterioration 

f.  other:   ________________________________           

15.  RELATED OUTBUILDINGS AND PROPERTY:    a. barn     b. carriage house     c.  garage

d. privye.  shed f. greenhouse

g. shop h. garden 

i.  landscape features: ___________________________       j.  other:  ____________________________________

16.  SURROUNDINGS OF THE BUILDING (check more than one if necessary):

a.  open land     b.  woodland       c.  scattered buildings  

d.  densely built-up     e.  commercial  f.   industrial  

g.  residential         h.  other:  __________________________

17.  INTERRELATIONSHIP OF BUILDING AND SURROUNDINGS:   (Indicate if building or structure is in an historic district)__________________________________________________________________________________________________________________________________________________________________________________________________                                                                                                                                                                                                                                                                                                                                                                          

18.  OTHER NOTABLE FEATURES OF BUILDING AND SITE (including interior features if known):___________________________________________________________________________________________________________________________________________________________________________________________

SIGNIFICANCE

19.DATE OF INITIAL CONSTRUCTION:  ____________________________________________________             

ARCHITECT:  __________________________________________________________________________                                                                                                                      

BUILDER:   _____________________________________________________________________________                                                                                                                           

20.HISTORICAL AND ARCHITECTURAL IMPORTANCE:___________________________________________________________________________

21.SOURCES:___________________________________________________________________________

22.THEME:___________________________________________________________________________

HFA Form 1510/14

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