Sublette County Homestead Site Form (revised 11/25/2005)
1. IDENTIFICATION/OWNERSHIP
Homestead/Site Name _________________________________ Other Common Names _______________________________________________
Original Owner(s): ____________________________________________________________________ Patent Date: _______________________
Original Homestead Legal Description: _____________________________________________________________________________________
Current Landowner (at time of this reporting): ________________________________________________________________________________
Contact Name: _____________________________ Phone: _________________________ Email: ______________________________________
2. LOCATION
Street address __________________________ Block: ____________ Lot: _____________ Parcel _____________ Town ___________________
USGS 7.5’ Map Name, Date _____________________________________________________________________________________________
Township _____.__ Range _______.__ Section ______ ¼’s _______________________________________________________
Township _____.__ Range _______.__ Section ______ ¼’s _______________________________________________________
Township _____.__ Range _______.__ Section ______ ¼’s _______________________________________________________
UTM Coordinates: E ______________________ m N _________________________ m
Or Longitude: ________________________ Latitude ___________________________
Elevation (ft.):____________________________________________________________
GPS Model: _____________________________________________________________
Notes pertaining to access (Directions, required vehicle, season limitations, etc):
3. RESEARCHER
Recorded by: _________________________________________________________________________________________________________
Field Dates: __________________________________________________________________________________________________________
4. SITE DESCRIPTION
Site Map Attached: ______ Attach a simple map indicating orientation of all structures at site in relation to North and GPS reading. Name or
number each building or structure, then complete a building description form (on next page) for each.
Structure: _________________ (Attach building description form)
Structure: _________________ (Attach building description form)
Structure: _________________ (Attach building description form)
Structure: _________________ (Attach building description form)
Structure: _________________ (Attach building description form)
Structure: _________________ (Attach building description form)
Pictures (Yes/No) ____________ (Take pictures of the overall site to document location and setting and include with form)
Site Narrative - In addition to description of each building, indicate anything else of note about the site. If homestead buildings have been moved,
indicate what is known. If original site and current site can both be identified and surveyed, fill out a site form for each site:
Sublette County Homestead Building/Structure Form (revised 11/25/2005)
5. BUILDING/STRUCTION DESCRIPTION (one for each building of structure)
Building/Structure Name or Number: ______________________________ Homestead/Site Name: ___________________________
Style/Type of Building: _______________________________________ Number of Stories ________________
Dimensions: Length ___________________ Width ____________________ Area ____________________
Roof (describe materials, i.e., asphalt, wood and current condition):
Structural system (i.e., wood frame, masonry, log and current condition):
Cladding (i.e., wood siding, asphalt and current condition):
Windows (describe number, types and current condition):
Doors:
Porches:
Fireplace / Chimneys:
Basement:
Distinctive elements:
Current use(s): ______________________________________________________________________________________________________
Original use(s): ______________________________________________________________________________________________________
Construction History (if known):
Date
Construction Elements
Information Source
_____________
_____________________________________________________________
__________________________________
_____________
_____________________________________________________________
__________________________________
_____________
_____________________________________________________________
__________________________________
Builder(s) (if known): _______________________________________________________________________________________________
Pictures (Yes/No) ____________ (Take pictures to document structure overall appearance as well as distinctive features. Include with form)
Building/Structure Narrative (Other observations and discoveries of note):