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Assessor's Office Use Only <br /> Please use separate review sheets for each account on which a review is being requested <br /> Please write in blue or black ink <br /> Review Appraiser: Qt Property ID: 5$755% Property Class: IaI 17 Commercial 5 Manufactured Structure <br /> Date: IIja3(at Review#: Tai - 3y3 XI Residential 5 Rural <br /> No <br /> Current Roll: RMV AV Recommended: RMV AV Change <br /> Land: 17,000 Land: 10110 ❑ <br /> Structures: -- Structures: ❑ <br /> RP.-M.S.: P.P.-M.S.: ❑ <br /> Total: 17)600 ISit/0 Total: Ir.) 110 101790 El <br /> Supporting Information: 5 Supporting Information Attached <br /> co-. 58-1 ssg cot r3 rvo9U <br /> Account Processing/Changes for Future Years <br /> 5 No Change/One Year Adjustment <br /> -- Trend Adjustment(Show Calculation&%): Eco of 67. S'In <br /> 921 Inventory Correction: OIM (psa Sc), PT '(ns c. EY.CFS3 �' <br /> 1 I J <br /> Recommendation Approved: Lead: S)0:Otte: I i 24 -21 Supervisor: PIM Date: ;)/?-1 Kt <br /> Taxpayer Notified: By: tit) Date: III1Vi 30'31 "Q Email 5 Letter Phone <br /> Taxpayegrees ('Disagrees with recommended values. <br /> Tag Reason: <br /> Sev St7SSY. Cor rUic: <br /> Clerical Use Only <br /> Events: Initial: Date: File Documentation: Initial: Date: <br /> Supplement: Initial: LK Dare: 2. fi 2 Supervisor: Initial: ince/ <V Date: (717/21 <br /> Review Cleric INHar4, 0 f Date: I ' Z <br />