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FORM B - BUILDING In Area no. Form no. <br /> MASSACHUSETTS HISTORICAL COMMISSION R 535 <br /> Office of the Secretary, State House, Boston <br /> In Laxi ngton <br /> ress <br /> ae Arf'tior <br /> sent use single family dwelling <br /> . E <br /> ,sent owner <br /> God eha rd A- Gu _nth r <br /> cription: <br /> z I9q <br /> r � architect <br /> contemporary <br /> 4. Map. Draw sketch of building location Architect The Architects Collaborative <br /> in relation to nearest cross streets and <br /> other buildings. Indicate north. Exterior wall fabric cypress <br /> Outbuildings (describe) <br /> Other features <br /> O aoAD <br /> 9a� Altered Date <br /> o � o <br /> Moved Date <br /> Q 5. Lot size. <br /> 27620 ft.2 <br /> Q One acre or less Over one acre <br /> _ Q Approximate frontage 130 r <br /> Approximate distance of building from street <br /> 130' <br /> O NOT WRITE IN THIS SPACE 6. Recorded by R S Tiorehouse <br /> USGS Quadrant <br /> Organization Lex. Hist. Comm. <br /> HC Photo no. <br /> Date April. 1976 <br /> (over) d <br /> 20M-5-73075074 <br />