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<br />I- \.0 ..--,. <br /> <br />City of Ji~.Lt <br /> <br />Parcel # ()'f-07SlJ-OOO tao -000 <br /> <br />TAX EXEMPTION CLAIM FOR NEW HOMES <br />BUILT IN 200) <br />VALID AT THE DISCRETION OF THE CITY ONLY <br /> <br />I hereby make ap1>lication for a tax exemption (exclusive of the lanq gr any special assessments) <br />for the years 20~& 200.$ on the property described below. I certify that the request is in <br />compliance with state law <br />Owner(s) of record: ~ ~ <br />Address' of property: ;2. / / J../ ~~ ~ I< ~ ..:h. i ~ ~ . <br />Legal Description: 1- e:r 6 if ~ ~ <br />AlE 1.t ~.. 3:A r / 37 III - ~ bel v./ <br />Type (Circle one): ~ingle Famif)?) Condo Twinhome Townhouse <br />Purchase Price of Property: / 6 ~ ~ 0 l> (in~~udes house, !Qland specials balance) <br />Date of occupancy by first owner (if known): ~ )- , _ ~ 0' 0 '-/ <br />Building Permit Date: I 0 ~ ~ 7 - b 3 Building Permit Number: <br />Person making application is (Circle One): (furild;J' First Owner after Builder <br />Only the first owner after the builder of a townhouse or condominium can make application for <br />the exemption. <br />I hereby certify that there are no delinquent taxes or special assessments on the above described <br />property and that the above information is correct. <br /> <br />Signature of applicant: <br /> <br />Date: <br /> <br />r <br /> <br />Section 12.1-11-02 ofNDCC provides that making a false statement in governmental matter is <br />punishable as a Class A Misdeameanor. <br /> <br />---------== <br /> <br />FOR OFFICE USE ONLY: Application is (Circle one): Gro~ Denied <br /> <br />By: <br /> <br />Date: <br /> <br />Remarks: <br /> <br />Two YrRes04.wpd <br />