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FORM B - BUILDING In Area no. Form no. <br /> K 4.28 <br /> XLA,SSAC HUSE TTS HISTORICAL COMMISSION <br /> Office of the Secretary, State House, Boston <br /> m Lexington <br /> ress 5 Forest St. <br /> Before 1910 Mr. Charles T. West <br /> ae (Undertaker) & [,lard; Miss Smith (no <br /> \ I� relative of Allen Smith <br /> JV- <br /> sent <br /> sent use Thielling <br /> i ng <br /> Lived here.since 1910 <br /> ' sent owner Mrs . Allen Smith (age93) <br /> since 1910 <br /> cription: <br /> = e Before 1875 <br /> - iource Map of 1875 & Mrs. Smith <br /> -�€ <br /> e t! Artrl to <br /> - � s <br /> 4. Map. Draw sketch of building location Architect <br /> in relation to nearest cross streets and <br /> other buildings. Indicate north. <br /> i Exterior wall fabric Clapboard & shingle <br /> - <br /> + 2 story clapboard,ridge <br /> Outbuildings (describe)...fbarn ca/baz door <br /> Other features Brick foundation. Lattice <br /> V,�+ `G under porch-rancrete front steps. Door has <br /> li ghtc On -blas and abnvp <br /> Altered X See over Date 1930's <br /> Moved Date <br /> r <br /> 5. Lot size: <br /> 5277 ft.G <br /> A One acre or less _ ` Over one acre <br /> Approximate frontage 76' <br /> Approximate distance of building from street <br /> 5' <br /> Anne Grady, Nancy S. Seasholes <br /> DO NOT WRITE IN THIS SPACE 6. Recorded by Elizabeth C. Whitman <br /> USGS (quadrant <br /> Organization Lexington Historical Commission <br /> MHC Photo no. April, 1984 <br /> Date May I , 19 76 <br /> (over) <br /> 5M-2-75-R061465 <br />