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NAMES OF ORIGINAL AND SUBSEQUENT OWNERS
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BASEMENT
BATH ROOM
_
1 -Story Dwlg.
2 -Story Dwlg.
Full
Half
Built-in Tub
Leg Type Tu
_
Story and Half
La
Pedestal L v
•��/36 A �4/em
1 -Story Duplex
2 -Story Duplex
F nate
Wall Lay.
Tile Wainscoating
Plaster to
-
Iron
Apartment
a ed & Paper
2 -Story
(Other Out building)
(Explain in Rem.)
HEATING
Hotel Apt.
j
I L II II II
=
Store Bldg.
CONSTRUCTION
Living Room
Gas Stove
KITCHEN
Office Bldg
—
Shop Bldg.
Factory Bldg.
Gas Steam_
Furnace
Built-in Cabinet 00,_
Garage Bldg.
Garage Home
Filling Sta.
Fireplace
Floor Heaters o ' II
Central
Tile Drain Ft.
Wood Drain?
Tile Wainscoatin
C
Bedroom
- —
Shingles
Stucco
Keen Cement "
Sealed & Papered
--
_
Library
- - --
Sun Parlor
CONSTRUCTION
DRIVEWAY
Shingle
XTION University Hts. #4
LOT E• 94o45 (Rear) 26
BLOCK
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Constructed or Moved on Lot g�.��,[�l, Permit No. 537"
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Base Rate Class
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AW OF i10Contract
Price $ QQQ Date Released
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Total Calculated F tage
7 ��`3� oS'3 � /,�.•5•,,� S�� g � /� /l9tYGo
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Bldr: �. L. Burgher
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6 �r� �h°1 C (. �'
Perimeter i
Square Feet
-- -
Iron
FOUNDATION
Plain Wo
Or al Wood
2 -Story
(Other Out building)
(Explain in Rem.)
1st Floor
2nd Floor
j
I L II II II
rick or Stone
Bri
Fr
eneer
Runners
Solid C
Cone
Gravel bporSingle
OUT BUILDINGS •WA
— —
-
KOO PP
Garage
Hollow Tile
Double Garage
Concrete Block
Steel Frame
Servants' Qtrs.
No. Rooms
-
FENCE
Box Sonat.
01Plumbing
1 -Story
-- -
Iron
FOUNDATION
Plain Wo
Or al Wood
2 -Story
(Other Out building)
(Explain in Rem.)
ROOMS
Solid Concrete
Cone. Blocks
rick or Stone
CONSTRUCTION
Living Room
Wood Blocks
Dining to
--
MISCELLANEOUS,
Box_
Iiitchen
Frame
No. of Fireplaces
—Cedar Clos is
Book Cases
OOOO���`"`����
EXTERIOR
Siding
—Veneer
Hollow Tile
Concrete
Galv. Iron
--- ---
Breakfast Rm.
_
Bedroom
- —
Shingles
Stucco
Windows. 13�
ROOF,_
Library
- - --
Sun Parlor
Com. Brick
Inside Doors.
Shingle
-Storage Room
Face Brick
Outside Doors.ja .
Attic
Stone
Mill Work........
Slate
Paper
Mirror Doors......
Tile
Tar and Gravel
--- .. --- ---
Office
Stairway .... ......
AsbestosStorea
Composition
ROOF
Attic Fan . o . ...
Bath Room
Shingle .
WA L
Shower Room
Slate
--- -----
Siding �
Sleeping Porch
— —
Tile
Powder Room
Tar and Gravel
Shingle
Galv. Iron
Asbestos
Stucco
Galy. Iron
-- - ---
Den
/W_ A,
Compostion
Pitch..`./
2M 12-23-40—VP
Roos
mEach Floor
---- - —Total
Base- STORIES CORNER OR INSIDE LOT
ment 1 2 3 4 5
FEET I DEPTH
- - - - /
.,,FRONT
- - FINISH Base- _
ment.
7THardwood Floors __
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Tile Floor
Inlay Linoleum
KIND WALLS
Plastered
Shtrk, and T.S.L
Sealed and Pap.
Beaver Board
Plywood Panels
I
FRONT
AREA I UNIT
PRICE
r
STORIES
VALUE
Porches & Misc. ,�
S. , C. C. P. !�D — J t7 %
C. C. P. o — �C3 %
C. S. at
ASSESSED VALUE
Year
Ground Imp.
TZI, 9r
I Total
NM
d Z /
Z
710
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REMARKS:
V
- - SIGNED —DATE
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