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Filed in Clerk's Office <br />Fi' 4, 1Al- '1��•���.:I�IiKI'fh���"r,�ICIM ��1 ., ;.. ,.- ,_ : � , �i.l�w+..^ --�'r : <br />State Forrnb1Y67 (R6J 9¢- 14)'a-t'? <br />Prescribed by the Department of t ocai Govemmegf Finance CITY CLERK, S UT H S�M f1, <br />This sta embr is being'corripleted for real propeilythatgyallftas'under ttie following lndiaiis Cotle (check one boxy: <br />0 Redevelopment or rehablittation of real estate Improvements (10 6 -1.1-42.14) <br />0 Residentially distressed area (10 6-1.1712.1-4A � <br />°FORM SB =1 ! heal �Prbporty <br />r . ,P.i?IVAGY.NO GE . <br />y intonn9tiop stns erring the cost <br />of the propp�•rtIqy and spedfic ssiaries <br />peat to indNidual empWyees by the <br />!o y gwlterJS confid•nhai per ; <br />Pct,1� 13� <br />1. This statement must be submitted to. the body designating the Econolnk RevitaNZatwn Area prlorto Me public hearing ►f the:designat1n'U b6dy i a4vires <br />Information from the appAcant In making ris decision about whether to designate an Ecotromic Rev SiiW t16h Area..Othenvise, this statement must be <br />submitted to the designating b6dyt3EFPRE the reiievelopirient orCehabN#atroh of real proper for tyhkh- t%teperson,wjshes...jo dArm u;deduGtign. <br />i 2. The statement of benetJts form must be submitted to the deslgriating+b iifyal tTlie art 8'ileslgnated an economic revitalaatioir eras before fhe ire Fafhn of <br />the redevelopment or rehabNilation for which the person desims.to cialrn s deduction: <br />3: To obtain; deduction a Form - 27 REmpst bellied with the EoumyAudHof beforeMay 10 In Me yearin which the adt�h�on °to assessed vahrailon Is � <br />made orrmt Teter fhan th (30j days at%rtb assessmentnof+ is mal/edto the prop y pkwierHit was rnai/ed afterApdI 1,0 A property cgt!ner who <br />M r <br />felled to f1�e a dedu Hoft.a �ti tiori wlthki th t%sddbed, deadllrr�g rrYay lNe an applic bettiveen March:1 anti Hlay 1t) ofa siibsegrrbrit yoai <br />-9. A property owner INho flies torthe deduWaffri usf pruutde the C6LnfyAnditorand desi�natirig body with a °F orrn CF1/Reat Property. Tha Form CFl/Rea/ <br />i Property shout! be attached to the Form 322/RE when the deduWan Is first claimed and then updated annually ror each year the deductlon is appHcaq/e, ' ; <br />IC 6-f i f2 >1- 9,s ?bj <br />Z. Fors Foim SB.Mtal Property that is approved after June 30, 2013, the designating body is required to establish an abatelneni sctredute for each <br />deduction allowed. For a -Form SB- 1lReal Property that is approved prior to July 1,,,WI,3,'the,, ,Abatement scheaiula.: approved by the. designating body <br />remainsineffect ICS-1.1121 <br />SECTION • • <br />Name of .. ' Y� ;,; ,F . >; , � ' - • : - : } .. <br />Address offazps (nriirrbererrdstreet staAs andZtPcode) <br />Name OT Correa person Telephone number I &mall address <br />7n33.55 brett3htech.net <br />SECTION 2 LOCATION AND DESCRIPTION OF PROPOSED PROJECT <br />Ntttttgpftte$Iprtang.bpdy Resolutlonnumber-:, . <br />oca prop ^ ; ... 7777 ::.:• County DLOF thft d skicrnu`mbef <br />7250VgF q0 Pkwy St Joseph.:.. -• <br />Desa7ptlon of reel propierly improvements redevelopmentr orrehebilitabon (tesesda4lionalshr ts! /necessary); Estlmeted alartdate (monC, day, year) <br />.Upgrades to parking and expansion of office space. Egumatea�rnpletiori date`(rnoiotit day year) <br />SECTION 3 ESTIMATE OF • AND SALARIES AS RESULT OF • • • • . PROJECT <br />Curran# numt »r 5a�rtes Numbernitained Sa�(es Number additional Salaries <br />42 $15Hr 42 `' $1.5 100 $15;5 <br />ASSESSED VALUE <br />V. r :cosy <br />Ctirtentvaiyes 3. 00,000 n0 <br />Pius estimated values of proposed. project 200'n00.00 <br />-, .. <br />Lo., w lwas 04 *2 bein re laced <br />QQQ:.SQ.: _ _ <br />SECTION • . AND . BENEFITS PROMISED : <br />EsCunated solid waste converted (pounds) rig dwastecortvertey (pounds} <br />