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Page 2 Page 4 <br />. ■■■ <br />2) How many buildings of what type, si::e, and location were used for your <br />business on this date __ _ <br />■;:vy■ <br />3) <br />'!■• • . V ■: ■■ . <br />How much and what kind of equipment used for business on this date <br />. . V ; <br />.. - ■», '.'i' : •: <br />m. <br />‘f-v <br />■ -r v'- ■•; .. <br />■ . V <br />‘ V.'U ;. <br />What was the condition of buildings on this date ~T^ <br />• ■ <br />If there were any additions to buildings, used for business between <br />MsiTch 11 , 1957 and March 10, 1968, please state date and size_ _ _ _ <br />■■•!. ^ <br />•VS-ir: <br /><*: ■.■lUX^ <br />^-.yy-y <br />Vi« <br />'y^^ <br />T • <br />V AS <br />Please enclose plat of your property, showing location of all buildings <br />and dimensions of that part of lot and size of buildings being used for <br />business purposes. Enclosed is a sample tHat may He used for this purp <br />and guidance. <br />■A- <br />purpose . <br />*’ V ■ -.■ A. • .; <br />^^-;C *r ■ - <br />S i gn e d ^ <br />Title <br />: i. <■• <br />::0-V.?':•V: <br />• 'V.'•;-i <br />.►T.. “ <br />.1'Vv <br />■y <br />: <br />• •■•t ■ ■•tv <br />•:i <br />;.T <br />tts-W -A • <br />■ ■' .vt" :-; ^