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,_ ~~ <br />~~~ ,t•r_ta _ ~U~-• <br />t:ta-. ~aal ~ ~~ ti ~ ~ S <br />~:1~ - AFP:.iGA~iON >=0~:?P~?~P~: iAX E::~rlPil~N <br />Gauaty Gr ~d"a~r~-'Cj ~ law; a: City <br />. .~' Jr <br /> <br />L1(6 U''~ <br />•`J~/ r <br />, <br />/ <br />~.~, r1+1,i~ <br />~•-~. ~ !l./ t `~^~ <br />~ 7 <br />~' <br />~': LCD V^ <br />G~ <br />~ <br />Q•~vncr ~ . <br />~w~... ~^rf• • <br />~~ I Y r~~-(1_ i~/t ~/" t <br />yr, <br />+ <br />~1 <br />y r} <br />t 3"ti~.'"^_ _~yrj Ltr ~~S••~ 1 `~~~~1 ~,~FJ ,'~Il r <br />} <br />' <br />V ~ I ~l /' L! C..- ~ / <br />c <br />(-:ra :' yr nvuteJ (-o"'^) - tits ie) (.,;p ~~dc) <br />. - ~) <br />• - <br />l-t ca uon of i'repst;: <br />f~ <br />t Y <br />i <br />,~ ~'(~~ ~ Undrr 4tie prp+i tipna oC G. $. IG3-:E:.! arair art er of properY [l a(ra int rs~asptiao ar axelurion :rom property taxva avat <br />dnnanatrair: 41it the :r:perSy inters Ihr su:vwry teaarit:meota for tsemptien at elaaaifiaatiaa. t;ii(ma .far exemption yr e~[lu- <br />lion gust Se lilcd r:t.1 6tiv sas . rp<r"iau of tha ~oru'. rp h ~hieh Ct< propcrCy is located. (7.s rersrs. aid+J C1+i:ai tot vx ervo-• <br />~ ^ Cleo should is[luda :It :tnd and impre•amee es and per.oa+l propvtry ai eu+eed t4er eoa and wmplete iararo.tioa ra =ardin: iu ure. <br />~ 1`IAj``j ~ T4cunde;signcdawnc: or autharixsd rcpresartative hc:eby pctitiPrs [or czemptton cf the Collowing de: .:ibcd prop- <br />Z. Give Complete dcsct'~pticn of prcpte;ty: ~~ ~ Li'^~••--••i• ~ ''\- -`==~~~~''-'~. ~t--/~'~~ '~' ~~G' L "~ <br />Land: / /a• y Gay, L ~.. ~• ~r ur _~.. ._ /~~''rr7 ~! f % ~ .+~7 . <br /> inprave:ncnts: ,-~•r• / ~~rrr-~ ra r ,Lt.f-: ~ irrr.v,~r <br /> <br />. L <br />- ~~ • !t-~r „~ ~" ~-4~d7: 1 Q--tv~.~~~e~=r=r~r f%_~'r` 1 N. ~ -- <br />- <br />Pe:sons! P~pc:ty• <br />~ <br />~ ~, ~ <br />i. . - - --- -- ~- <br />~~ <br />5 <br />~/~ ~ <br />I ~. List and z-plain tha purposes far whit:h the property is us d• - .~ <br />, ~~- ~ ~~•-~ L-~, . <br />[~~. ~ ~r,~_ f~~- s• r <br />Land: G~-~`'E-fk-'r t~~ <br /> <br />~ /~ ~ <br />r <br />:r1. ~• <br />~ <br />~ /L, .~ }~ ~ r .rte" G4.~•s51/J'!(. ~ ~' S~-u'r --r3r- <br />Improver,-ts: <br />~~, <br />l • <br />-F r. . r' Tt~. <br /> ... ~ •Dd ~ r /.tJ~::.~1~~ ~ <br />°--sera! P:opcr:y: <br />` <br />`~ ~~ ~3. 1C anp or~ani.atior. ou4a: :han the owner' uses the property', give the name oC the ar~anixalion, (ull partic:aa:s <br />i <br />f <br />h <br />• <br />'d ^y v;.d <br />use. <br />.c Lcee <br />or suc <br />rcoardiag it. '•s cf the p:opcrty and the amat:at aC any incort <br /> <br /> <br /> °- 6. List t:;.. insurance value of tl:c prcpc:ry: <br />]. Give vou: w,ur..a...., the true value <br /> in t^oncy o" the pragc::;!~ b t) <br />•~Ca t ~ ~xxzzzzxsxxzss.'t~-..:zzza..-zxxz_:zx:zzr- <br /> Land ~ ~, •~ <br /> improve; ;~ ;.~ ~lc7Zt ~ <br /> Perso:ta! °tope~ : '-~ ~ ir" ~ ~ r Gr <br /> fi. Upar, ~~+hat uses or pu.^, osas do you bass this Claim far e: e;.tptivn? Charitable ( ); ~=!igious (G}~ <br /> .cucstior.ll ( ); Litcrry ( ); SGicntific ( ); G4`ter <br /> r. Give the specifiv ststutary authari;y upon whits t,.:s propeay a elstmcd :.S .ze^tpt: r <br /> fr=l{( (r: YIS 0/ ail ~+:: :Ttl(wR ar:G C: ~; S: (t CS Ltor. Si3rll:CS are ~availc6te ct the e;)tce 0~ (ItC ca Crory Las ;up er+i sa r.) <br /> r\t=1=IR.\[.\Ta04 <br /> Under prtaltt[a pros e:iyed by la+, i here E7` aCCirta that t4 ihs yvat ai nl 'taoVled t+ sad Svlis,•, tha atstrmequ and is (vwaiian is ;Sia <br /> e: pmpC:ly ttrTCia deaeriLed~rroa ~tzation. <br />aj tG <br />r-_ :rue and Wir~eL and ~:r aaG~ 'nr ~e purJapee aL esempti <br />aplia.tio:t <br />a <br /> ~ <br />\ <br />r <br />'~ <br />I <br /> $twr.ture v! over ar :uthorrt:cd ecprescnaxutre •+ <br /> ! 7 <br /> Yit{a Telnhvne ::a. <br />