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Fqr $J;i f:UR 6njy Belaw jibs Line <br />L40,d : 1 LOo, o•s <br />What is the current assessed value? Real Property: d Personal Property: <br />What is the projected assessed value? IRealPrup ers 1 Property: <br />IWhat is the tax key number forthis project? i �7 333!000 1 <br />What is the six digit NAICS code? I /A <br />Please attach a Google map and street view of the location. <br />Please list the amount of real and personal property taxes Real Property Taxes: Personal Property Taxes: <br />paid for the last flue years when applicable. <br />Year One <br />Year Two <br />Year Three I <br />1 Year Four <br />Year Five <br />5 <br />6 <br />7 <br />Please fill out the following Public Benefit Summary Information and add to total from above. <br />Y or N 1 <br />Points I Poin <br />Public Benefit item: <br />" 1 <br />ZS <br />Project Related: <br />B. 200% to 299% <br />A. Redevelop a Site that has Special Needs <br />y <br />y % 49 <br />B. Develop Based on Local University Research <br />G 5 <br />35 <br />C. Achieve a Physical Element of a Plan <br />Y <br />3 6 36 <br />ISub-total Project Related: <br />v's <br />120 <br />Super Size Proiects (point values are cumuiativel: <br />A. 100% to 199% <br />" 1 <br />ZS <br />25 <br />B. 200% to 299% <br />v -0 <br />68 <br />C. 300% to 399% <br />G 5 <br />65 <br />D. 400% and Over <br />h <br />5%— <br />52 <br />ISub-total Super Size Projects: <br />210 <br />210 <br />Pau for Municipal lrrfrdstructure: <br />A. Pay for Oversizing or Upgrading <br />14 <br />B. Pay for 26-50% of Extension Cost <br />26 <br />C Pay for 51-75% of Extension Cost <br />39 <br />D. Pay for 76-100% of Extension Cost <br />52 <br />ISub-total Infrastructure Related: <br />I 131 <br />Total from Applicant Section: r l prk' GS�SfICe <br />Total from Staff Section: _ 1T IIiG� �j I " an+ <br />Total Public Benefit Points: 77 % 1000 <br />JUN 2 7.0-0 <br />?AWN�j (NES <br />CITY CLERK. ar UTh BEND, IN <br />