50 NW 5th Ave 0 •� " R ' DATE S-b-g6
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TO: OFFICE OF CITY TAX A88E88UR
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pp pp Ee Sj Your attention 1■ called to a building change at
58_ N.W. 5 A—us _ Lll llan St lckland____
n 1 Cd.;;W 1. j (No.) (Street) (Owner)
tom of Dalrs Block 20
1,ot (5) S 25' of N 250' of L 135' of Rk 20
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REASON:
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1. Structural fire damage in amount of approximatelyf10.000,9. Building or Buildings moved from property, leaving
x.A. Du11d1aga on property.
(Number)
g `may i I 3. N.A. Buildings moved onto property.
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o o o D c illfUlil 1�± i! al! 1 {{ I - Remarks:Data:xu6/25eDE 311
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Signed
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x Department F .ra
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