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FEE "i <br />For Staff Use Only Below This Line 1 LIA. JCSNES <br />CITY CLERK.SOUTH BEND, IN <br />What is the current assessed value?Real Property: <br />I' <br />1/3,C 00 'Personal Property: <br />What is the projected assessed value? Real Property-. i. 7 25,90 v Personal Property: <br />What is the tax key number for this project? I 7/ "46g —Iwa. ^ 3a ^ 006 . 000 — 0 Z y <br />What is the six digit NAICS code? <br />tV/41 <br />Please attach a Google map and street view of the location. <br />Please list the amount of real and personal property taxes I <br />Real Property Taxes: Personal Property Taxes: <br />paid for the last five years when applicable. <br />Year One 2,0 Z 9 CA-) 5.0 1 <br />Year Two 2,021 5 2-33 .714 <br />f <br />Year Three <br />Year Four <br />Zo 19 15.2-07. 36 I <br />Year Five ' ^ I v 5 ` 3 . 5/ f <br />Please fill out the following Public Benefit Summary Information and add to total from above. <br />jY or Ni I Points I Points <br />Public Benefit Item: <br />Project Related: <br />5 A. Redevelop a Site that has Special Needs I 49 <br />B. Develop Based on Local University Research 35 <br />C. Achieve a Physical Element of a Plan 1} 36 <br />ISub-total Project Related: <br />1,q 120 <br />6 <br />Super Size Projects(point values are cumulative): <br />A. 100%to 199% N 7-5 25 <br />B. 200%to 299% tI Q 66 <br />C. 300%to 399% 1 10 5 65 <br />D. 400%and Over 1 52- 52 <br />Sub-total Super Size Projects: 2-10 210 <br />7 Pay for Municipal Infrastructure: <br />A. Pay for Oversizing or Upgrading 1 14 <br />R. Pao for 26-50%of Extension <br />CostII <br />26 <br />C. pa,for 51-75%of Extension Cost 39 <br />C Pay for 76-100%of Extension Cost 52 <br />Sub-total Infrastructure Related: Q 131 <br />Total from Applicant Section:2-3 7 539 <br />Total from Staff Section: 59 461 <br />Total Public Benefit Points: 9 7 1000