[Historic Marker Application: Fred Metzger House] Page: 2 of 4

                                
APPLICATION
THE TEXAS HISTORICAL BUILDING             MEDALLIONS           J     2   164
JAN 2 8 194
EXSSTATE ISTO  Ad nDi iTown 1
C yF.T                    - Date of Application  :A9, q
Address: (If the Building is not in town indicate number of miles and direction
from center of town and number or name of highway or road.)
(rt h      S tDO NOT WRITE IN THIS BOX
Date Received:
Date Approved,
Present Owner: M  , - e-yS     ). A)I %i    E~    eRejected:
General Designation: %es i                                          Comm  tee Ruling
Date Built: iS_                   _                                 Area Representatives: +20  '
Present Condition:             ______            ______
Committee Members:
Interest:                    i
Architectural DX uJ              3
Historical O  _  r
o      b \, A     t-  s        r j- -   us-e                    No. Assigned
Organization or individual Assuming Responsibility of Building:
Date Mailed
Additional Remarks:                             - K               ;            r}r[  .  3
Sources of Information: C  ,                                            c &o   ,   > (' (v
Signature- Owner or Authorized Represena ive                       AdrsK       c w) ~ Q4p~

UNLESS THE FOLLOWING IS SUPPLIED, THE BUILDING MEDALLION COMMITTEE CANNOT ACT UPON THIS
APPLICATION:
SI'Complete information asked for above
Kodak picture of building attached to application
%. Check for $14.75 made payable to TEXAS HISTORICAL FOUNDATION
I hereby certify the above application has been approved by the  IoCounty Historical Survey Committee:
County Hairman
'Address
TEXAS STATE HISTORICAL SURVEY COMMITTEE
George W. Hill, Executive Director
112 East 18th Street
Austin, Texas