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FORM B — BUILDING Assessor's Number USGS Quad Area(s) Form Number <br /> 22/109 Boston <br /> MASSACHUSETTS HISTORICAL COMMISSION North <br /> MASSACHUSETTS ARCHIVES BUILDING <br /> 220 MORRISSEY BOULEVARD <br /> BOSTON, MASSACHUSETTS 02125 Town: Lexington <br /> Place: (neighborhood or village) <br /> Photograph East Lexington <br /> Address: 12 Independence Avenue <br /> = r ; Historic Name: <br /> f Uses: Present: residential <br /> Original: residential <br /> � . Date of Construction: c.1870 <br /> Source: maps <br /> Style/Form: <br /> Architect/Builder: unknown <br /> Exterior Material: <br /> Foundation: rubble <br /> Wall/Trim: clapboards <br /> Topographic or Assessor's Map <br /> Roof: asphalt shingles <br /> Outbuildings/Secondary Structures: <br /> 152' <br /> •t 13 shed <br /> 'a, Major Alterations(with dates): <br /> 1a Date?—additions, bay window, entrance porch, new <br /> 1 windows <br /> LL <br /> Condition: good <br /> 0 0 w 1Ba Moved: no x yes Date <br /> Acreage: 0.55 acre <br /> -0 5 Setting: base of hill, side street with 19th century <br /> g� Y <br /> houses <br /> k2 Vii. <br /> Recorded by: Lisa Mausolf <br /> Organization: Lexington Historical Commission <br /> Date(month/year): Feb. 2010 <br /> Follow Massachusetts Historical Commission Survey Manual instructions for completing this form. <br />