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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: U' C Property ID: S pp 1p S I I Property Class: / N p ❑ Commercial ❑ Manufactured Structure <br /> Date: II- ( " Z I Reviiewn: "TL ) " 0`n [l Residential 0 Rural <br /> No <br /> Current Roll: RMV AV Recommended: RMV AV Change <br /> Land: IIS, 000 Land: SIS 00 175 <br /> Structures: 275 1ti3 Structures: 275,740 0 <br /> PP.-MS.: P.P.-M.S.: 0 <br /> Total: 3ci 0, 7'p 25 9,5 La Total: 3 9O q o 2S 9 S to B <br /> Supporting Information: [Supporting Information Attached <br /> Account Processing/Changes for Future Years <br /> o Chan /One Year Adjustment <br /> ❑. Trend Adjustment(Show Calculation&%): <br /> ❑ Inventory Correction: <br /> Recommendation Approv d: ead: -/7/` Date: //' � Supervisor: U Date: f�/)'� <br /> Taxpayer Notified: By�j(/I Date: II-LT( ❑ Email 0 Letter K Phone <br /> Taxpayer Agrees C'Disagrees with recommended values. <br /> Tag son. <br /> i� I , � <br /> v(//lto/ (L( � /2� .;fifM '^(� ) , 1� ' el _lit , � Alitf <br /> �y\� C rical Use Only <br /> Events: Initial: �T Date: 1 ^ - File Documentation: Initial: !nDate: <br /> Supplement: Initial: Date: Supervisor- Initial: ,1)494 Date: le <br /> Review Clerk: Initiar ref Date: II //7 61 <br />