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Assessor's Office Use Only <br /> Please use separate review sheets for each account on which a review is being requested <br /> Please write In blue or black ink <br /> Review Appraiser: 1 Z Property ID: 515c i Property Class: 101 ❑Commercial 0 Manufactured Structure <br /> Date \ \5 I a,(}r)( Review a:l a I-D01 O Residential ❑ Rural <br /> No <br /> Current Roll: RMV AV Recommended: RMV AV Change <br /> Land: 13`11000 Land: 1541000 !RJ <br /> structures: I ,056,5-1(7) structures: l a(4, Opo ❑ <br /> P.P.-MS. P.P.-MS. ❑ <br /> Total: I,IF0157b 011).340 Total: 5{' (QOrat) °SIo0,00D ❑ <br /> Supporting Information: supporting Information Attached <br /> Account Prow ! Future Than <br /> O No Change One Veer Adjustment_ <br /> ❑ Trend Adjustment(Show Calculation MO: "`i'Lcr .,' <br /> • Inventory Ccorrection: LSPau, D \ ) F lH �— �`ced, CQt�u.0 Q yiUnIp00L)(] 0Av <br /> CA-1,•-a Ad <br /> vdue (\ O\\j IOi:.vc\ 0.MJ -b L 1h"1(P1 LIS 0 - See Qi"'c ocd <br /> OO � nn yyrr Mtn Recommendation Approved: Lead:S,7tr7./ Date: ilk/7dsupervisor. .}tn Da_te: t{/4zi <br /> Taxpayer Notified: By: -j 2 Date: Ii/51 a-1 0 Email 0 Letter ICChone <br /> Taxpayer F2/Agrees C Disagrees with recommended values. <br /> Tag Reason: <br /> ry n Clerical Use Only <br /> &els: throat /X oats /'d 1 / / File Documentation: m <br /> Documentation: Initial: Date <br /> Supplement mmat /r�rL oat., / — -'oY- 5uper.uw: Inmat yd Date 11 1.4 ZI <br /> Review Clerk tnmat 114 Dec <br />