Agenda - 02-17-2004-8d - Laserfiche WebLink

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..nV'.. ~..-. I~:: ~-~-C. t~~'I~~ ~ t`~ ~'-113 ,~'~: - ' ^1:58p Orange County Tax p. 1 FI! r r ~ .: ;~ i' i r I,! I I YEAR ~bUJ APPLICATION FOR PROPERTY TAX EXEMPTION County Di'"~gvtc~G Town orCi(y ~~Cffl~I ~~! _11\1~~1 JFr~et .S~t;'f¢ ~bc7 G~i~~'~1IKll~ lt/(::. '~275'I(~ . 1V 1 ~. ~'~L1~L'1 „~ 1 3!roel or Rowel ~~ (Town) (5161e) (Zip Godu) _~03 S„u-rr •I~YL'r.f i (• ,i( ,d,,vG PiN ~~~'.?--(~'1_S5'.3`l 2`l3.bt8. `'~ ` ``-~ INSTRUCTIONS `~ ` ~i ~Tc r .~., bt G S. 105-22.1 every ownerol propeny daiminy exemption or exclusion Irom proporty rases mull demonstrate that the properly I ) li; ~ - :...!aT• requirements for exemption or classilicalion Claims for exemption or exclusion must be tiled wish the Assessor of the county in ,I ~;. t. :5per:y is located. (see reverse side) Claims for exemption should Include all land and improvements and porsonal property situated thereon cL~~' ,.ad.amplele information regarding its usa. - ° l.'-- j"~ '~F~~ ih!$1uj~:~e ~~!~ned owner or authorized representative heroby petitions for exemption of the rollowing described property: ' 3~~,~ o~?'Giere description of property: Ud ca ~' ~ F - .5 -- ~~rr ---- _ ~` _ _ • ..1-h ~N q ~Ud ~ ~+ Il Gnr ~.,tG'. G' f~1'h ~, h 'f G ~ ~l y.el rue .n~ ~,~ ~<r~ _ u. v2Tent5:. ( ! ___I 6G~ .1~ ,Itit,tl'. .,~,;I, clr}r~tr t ^a P _ - .~. ;' and e^r.piain the purposes (or which the property is used: pp / ,-,._a; Frl( i'Cl~t Ubb( (rLY"tai G,~ 70YUQ G:•FM I.,r,)( ~iG. ~~1'P (! '!D ~lUVrE~I'- E+//vL~d~F7~~ 17E4~J'/!nom -_ -. t- 1 -x l . f~,t'.__-fir, __..__~~ _Yv .lU~.l h( P i'4Sl E~Cv11-f G)Pq ~.G L,t _. _: ~~~~al p.pparfy; ._ !~ s,y ~ sari=anon other than the owner uses the properly, give the name of the organization, lull particulars regarding its use or the _-u~-r>: and ;iie amount of any income received for such use.. ---'-" 5 GP: e vour estimate o(the Prue value in money of the property: --- __ 1 ~,ovy __-. -.. , a;,,~, R5, ovU ~~.. -- e'ar.al properhe (! EUD _~_.. -_. ~' ;}po^:~~hai uses or purposes do yov base this claim for exemption? Charitable (i~ ); Religious ( ); Educational ( ): ..._~_.~; ( 1; Scienlilic ( ); Other- ---' ' • ... „ -, -,,ibc sia~uory authority upon which This pioperiy is claimed as erempC (Fill !ezls ojal( esempfion and classification statrttes are avnitnb(e a!!hr uffce of the cnmrtyAssessor:) AFFIRPSATION -.. ... _.*es prescribed by law, I hereby affirm Thal to the best o(my knowledge and belier. the stalemen(s and information in this - ..r .. s .: .,_ ,.., cerrecl, and are made for the purpose of exemptin the property herein described Irom taxation.. - $ig7dur • of o~ner or authorized representative .> I~ _ . _... ^. '!ES ~ NO lice rtdannone No