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F O It M B - BUILDING In Area no. Form no. <br /> MASSACHUSETTS HISTORICAL COMMISSION E 237 <br /> Office of the Secretary, State House, Boston <br /> 'n Lexington <br /> ress 922 Mass. Ave <br /> Ga I burn - raSS�v►y) <br /> 3e` nt use residence <br /> , ` <br /> f - - <br /> ;ent owner Mrs. Mabel Bellinger <br /> V- _ - - ;ription: <br /> ounce ase L <br /> 4. Map. Draw sketch of building location Architect <br /> in relation to nearest cross streets and <br /> other buildings. Indicate north. Exterior wall fabric clapboard <br /> Outbuildings (describe) <br /> Other features <br /> five hay wi day one rnnm rlaa-Li, <br /> 71 <br /> ''Vagranite foundation, addition to rear. <br /> v <br /> y? <br /> Altered Date <br /> Moved Date <br /> F <br /> y x X <br /> L,7 �+5. Lot size: <br /> Z <br /> Less than one acre x Over one acre <br /> `: 14 Approximate frontage 50' <br /> ,JI <br /> '.LSC Approximate distance of building from street <br /> 10' - 15' <br /> DO NOT WRITE IN THIS SPACE 6. Recorded by E. W. Reinhardt <br /> USGS Quadrant <br /> Organization Lex. Hist. Comm. <br /> 1Q1IC Photo no. <br /> Date 7/75 <br /> (over) <br />