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SANTA ANA HISTORIC REGISTER <br />APPLICATION FORM <br /> <br />397 <br /> <br />q <br /> <br />NAME <br /> <br />Historic KOEPSEL ROUSE <br /> <br />and/or Common <br /> <br />LOCATION <br /> <br />Street & Number <br />City, Town San~;a Ans. ~A 92701 <br /> <br />State Califom-nl n Code <br /> <br />1801 North Bush Street <br /> <br /> N/A <br /> <br /> C,A . County <br /> <br />vicinity of <br /> <br /> not for publication <br /> <br />cong. dist. 39th <br /> Code <br /> <br />· 3. CLASSIFICATION .. <br /> <br /> Category Statu~ Present Use <br /> district occupied, agriculture <br /> X. building(s) X .. unoccupied commercial <br /> structure ..work ir~ prog. 'educational <br /> site ~lic Acquisition entertainment <br /> ~bject N/^ in process §overnment <br /> · . Ownership . bein§ cons[tiered industrial <br /> public Ac'ce~ible military . <br /> private yes: restricted museum <br /> both × yes: unrestricted park ' <br /> no <br /> <br />_~_ private (esidence <br /> religious <br /> sciehtific <br /> transportation <br /> other: <br /> <br />OWNER OF PROPERTY <br /> <br />Name Mr. and M~s. Phillip Chinn <br /> <br />Street & Number 2900 North Flower Street <br /> <br />City, Town Santa A~, C~ 92206 · <br /> <br />__ vicinity of .State N/~ <br /> <br />LOCATIOn4 OF LEGAL DF_SCRIFTION <br />Courthouse, Registry of Deeds, etc. 0raa56~CoUnt7 Hall of Records <br />Street & Number 630 North Broadway <br />City, Town Santa Ana~ State .da..lifornia <br /> <br />REPRESENTATION IN EXISTING SURVEYS <br /> <br />Title <br /> <br />Date <br /> <br />Depository for survey records <br /> <br />City~ Town <br /> <br /> Not listeG/out of survey area completed. <br />has prope~ybeen determined eligible? yes no <br /> <br /> federal state county local <br /> <br />State <br /> <br /> Exhibit A <br />Page i of 9 -~ <br /> <br /> <br />