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11114/199? 11:29 5~~-29'r-2E~5 H~NN~=; hr1CELD04~iNE'r Pr=;6E ~..~'-, <br />~AIIN FOR DWELLING MOYE BY SCHE,DULE <br />Agency: Mu~ian County <br />Project: Coucthousc Square <br />Name/Parcel A-: Inmin <br />CLAIMANT PLEASB COMPLETE 'i'I~S SP'S~;CI'ION <br />I beeeby aake ~pplicatioe for mavin~ ~~ a1lvw~ce determined .,ccordit~ to tbe schedule authori~ed by Marioa County. <br />My cW~ ee baeed o4 a room count of aad is in tbe ~mount of S~~~j 50 . <br />The mwin~ paymeot ie due aed psyble by Muion Caunty when the dwelling being puraLased st Courthouea Squar~ ~a boon <br />vacated. <br />I uodetataad t~e~a pra¢nisac ~ust be l~ft ciaaa aod ordariy ~nd will be iaspectad by aa agent. I vacat~d tbe sbove premiees on <br />- ~ ~~ R {date). <br />~ <br />D <br />~ ~`(T)1 ~lc, i P. ~.~~ ~ ~ <br />ScreetlP.o. Box <br />_._ __ <br />_. ~.. <br />.___ -~ <br />rr ~,..~ <br />( <br />1 QIi11t S1~Dttllie <br />City <br />Stata <br />Zip <br />lespection Reporc: <br />Inspoction of the eubjxt praperty ~wa made on <br />recommmd tlut tha moving ezpeaee dlowance <br />Occupaac'e Naw Mailiag Addra'a Is: ~~ ~~!/~ <br />Tetephono: ~ 7~ -' ~ ~ ~ ' / ~~'/ Distroce <br />~j ~ ~ <br />~date) rnd found vacant, clean aad otderly. I <br />reieaaed. <br />~ ~~ ~ <br />~ ~ ~/O ~~ ~~~~- ~~'- <br />atiu.~ .L"o ~ ~ <br />Agent <br />RESIDENTIAL ~WELLING MOYDVG SCHEDULE <br />Tbo relacatee msy elect to morre himsalf aed roceive o,n amount based on the numbzr of etigible rooms ~s establishad by the ri~Lt <br />of way aQeat at tbe time of negotiationa. Eli~ible roome rre t~oae used by a rolocstee for the accoma~odation of hie pareonal prop~rty <br />aad would be ~e8erally limited to: livin~ room, dinin~ room, kitchen, family room, utiliry rvom, bedroom, attic, ba8emeat, ~ara~a, <br />patio aad ahed. Because of uausual dwellin~ atraa~emeets, other rooms mighc be eli~ible at the discretion of tbe right of wsy ageac. <br />Numbar of Rooms 1 2 3 4 Additional Rooms <br />Unfurniohed <br />~''""' °i~ F"d0"~ 5250 5400 SSSO 65o Plus 5100 for Each <br />Additional Room <br />F~~ ra.~,m n~ ,.a o.o ~,,,~,,.~, S22S for First Room Plue S35 for Eacb Additional Room <br />F[am~. 11~E~davffer t A~wci~ (303) 297-93~6 <br />App~1W. Tlqaaaeae. AeJounim. 3Wa <br />