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For Staff Use Only Below This Line <br />What Is the current assessed value? IReal Property: I Personal Property: <br />What Is the projected assessed value? I Real Property: I Personal Property: <br />What Is the tax key number for this project? <br />What Is the six digit NAICS code? <br />Please attach a Google map and street view of the location. <br />Please 11st the amount of real and personal property taxes Real Property Taxes: Personal Property Taxes: paid for the last five years when applicable. <br />Year One <br />Year Two <br />Year Three <br />Year Four <br />Year Ave <br />Please fill out the following Public Benefit Summary Information and add to total from above. <br />(YorN) Points Points <br />Publlc Benefit Item: <br />Proje� Rela1ed: <br />5 A.Redevelop a Site that has Special Needs 49 <br />B.Develop Based on Local University Research 35 <br />C. Achieve a Physical Element of a Plan 36 <br />I sub-total Project Related: 120 <br />6 S!!1:1er Size P[Oje!.l} l11oint Jlal!!eS j!re C!!m!!latlv!J!): <br />A.100%to 199%25 <br />B.200%to299% 68 <br />C. 300% to 399%65 <br />D. 400% and Over 52 <br />I sub-total Super Size Projects: 210 <br />7 Pal£ for M!,!nlt;ll!al Infrastructure: <br />A.Pay for Oversizing or Upgrading 14 <br />B. Pay for 26-50% of Extension Cost 26 <br />C.Pay for 51-75% of Extension Cost 39 <br />D. Pay for 76-100% of Extension Cost 52 <br />lsub-totaJ Infrastructure Related: 131 <br />Total from Applicant Section: 539 <br />Total from Staff Section: 461 <br />Total Public Benefit Points: 1000 <br />$65,600 <br />018-8112-4237 and 018-1007-0223 <br />111419 <br />Pay 2021Pay 2020 <br />$1,651 <br />$2,950 <br />y <br />y <br />y <br />y <br />25 <br />686552 <br />210 <br />210 <br /> 406 <br />616