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CITY OF <br />APPLICATION FOR RESEDENTIAL TAX ABATEMENT -5 In 5 Infin Housing Prop -ram <br />PropertyOwner: r+*,/Lam4v- Ckwn'�Y <br />Name Current: b,,'�.4-der N,mrwn� Name Planned*: <br />(*Do you plan to re -assign to a buyer upon complees No <br />Mailing Address: " 4, Bo �mm55....a, rt s ?`X 7 std; / <br />Telephone Number: email: <br />Builder or Contact (if different than current/planned owner): <br />Name: <br />Mailing Address: <br />State GC License No: <br />Telephone Number OJ ', 5 email ..part s /. bs4x4�� sued e n j� n k mei �. es K <br />Property Parcel(s) Proposed For 5 In 5 Agreement: <br />(Please submit an attached list of addresses and/or LCAD #'s on Excel Spreadsheet, if possible) <br />No. LCAD Address Lot Blk. Addition <br />2 <br />W ..www. w3.awa ®�wK. <br />under � <br />2 1 `�6 �7 a DTA Id E 3 6? -13 <br />4. ` P27q / 6-7-14 5c,- <br />5. <br />Full Legal Description: Include as an attachment a full legal description with metes and bounds <br />or a copy of the deed, if available. <br />Improvements: / <br />Type improvements for new Construction: SF ✓' 2F_3F_Quad_MF_ <br />Total Number of Dwelling Units <br />Estimated Value of Improvements by type: •e �q yv� �)� �,w (' ed <br />Estimated Start Date of Construction: <br />'1AACep 3 <br />•••��. �, z _.............. ,... <br />Estimated Date of Completion of Project(s) <br />Description of Project (attach site plan, floor plan, etc L'u'tWV4 <br />Owner's Signature: Ol �- �i1 Date: a /w <br />Applicant(s) Signature: Date: <br />`' Page 7 of 7 <br />