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Page '? <br />Page 4 <br />2) flow many buildings of what type, size, and location were used for your <br />business on this date, —�_---•���' _ <br />_/V J�4rL <br />3) How much and what kind of equipment used for usine-ss on thi; date <br />4) What was the condition of buildings on this date <br />• <br />If there were any additions to buildings, used for business between <br />March 11, 1957 and March 10, 1969, please state date and size _�,��tC <br />Please enclose plat of your property, showing location of all buildings <br />and dimensions of thatap rt of lot and size of building being used for <br />business purposes. inclosed is a sample fret maryTge used for this purposc- <br />and guidance. <br />Si gned�!fitc.�Y.�' L • C - <br />T i t l e__� - - - - - - -- <br />