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, ~ ' ~~ ~ Oregon Deparimen! o/ TranspoRation <br /> Relocation <br /> REPLACEMENT HOUSING WORKSHEET <br />Relocatees' Names: ' ~' <br /> _____ ,c~ File Numb <br /> er <br />Rent Supplemenf`(~ Dow <br />l~ n Payment ^ Housing Additive ~ Market Rent p Site only for MH ~ No Land, only MH ~ <br /> <br />Complete Address SUBJECT COMPAR. #1 COMPAR. #2 COMPAR. #3 <br />and ~~~ ~,~.~~~ l(~~~ 5 ~'uf~ #~ ~%l ~Pirt.f,~ti ~/U <br />town/neighborhood (~~n m ~ u~c~ <br /># Bed/bath/total Rms / ~ / 2 ~ ~ ~ 2 ~ ~ 2 ~/ /~ <br />Total Area <br />Year Built <br />House/apt/duplex/site/ <br />manufactured home /~ t <br />/ -~ ~ f, <br />/~ ~ <br />~~ <br />~ f <br />Condition Exc <br />li <br />t <br />G <br /> ^ <br />e <br />en <br />~ <br />ood ~Excellent Good ^Excelient ~Good ~Excellent ~Good <br /> (~Fair ~Fair ^Fair ~Fair <br /> ~Non-Dss because ^Non-Dss because ^Non-Dss because ~Non-Dss because <br />Lot size <br />Garage /Car <br />ort/#of <br />p <br />cars <br />Special Amenities <br /> <br />Public Trans <br />ortation Y <br />N <br />p es p <br />o Yes p No ~ Yes ~ No ~ Yes ^ No <br />Distance to / ~ -~ ~ <br />EmploymenUShopping <br />Type of Heat <br /> <br />Listing Price <br /> <br />Adjustment and <br />Source: <br />Adjusted Price <br />Rent ~7.~- ,.S 5 ~ <br />~ a <br /> <br />7 <br />~ <br />Av r «s <br />e a e monthl cost <br />9 <br />Y <br />>;: >::::<:»::::>:::<:::::>::>::>:::::::;:<:::;;>~'::>:::>::»::>::;:;<::<::;:::<:; 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