blackhawk poa ag application (feb 2019... · 2019. 2. 15. · aum - animal unit month: a.r.s. §...

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  • File Date: ASSESSORS USE ONLY: OWNER NAME ADDRESS PLEASE PRINTRow1: OWNER NAME ADDRESS PLEASE PRINTRow2: Totals Parts A 8 C combined: 36Carrying Capacity Annual AUMs: ItemRow1: Land Parcels Assessors ParceiiD NumberRow1: Land Use see codesRow1: GRRow1: 36Row1_2: 0ASSESSORS USE ONLY Parcel Size f App Den PUCRow1: ASSESSORS USE ONLY Parcel Size f App Den PUCRow1_2: ASSESSORS USE ONLY Parcel Size f App Den PUCRow1_3: Land Parcels Assessors ParceiiD Number2: Land Use see codes2: 2: 2_2: ASSESSORS USE ONLY Parcel Size f App Den PUC2: ASSESSORS USE ONLY Parcel Size f App Den PUC2_2: ASSESSORS USE ONLY Parcel Size f App Den PUC2_3: Land Parcels Assessors ParceiiD Number3: Land Use see codes3: 3: 3_2: ASSESSORS USE ONLY Parcel Size f App Den PUC3: ASSESSORS USE ONLY Parcel Size f App Den PUC3_2: ASSESSORS USE ONLY Parcel Size f App Den PUC3_3: ASSESSORS USE ONLY Parcel Size f App Den PUC3_4: Land Parcels Assessors ParceiiD Number4: Land Use see codes4: 4: 4_2: ASSESSORS USE ONLY Parcel Size f App Den PUC4: ASSESSORS USE ONLY Parcel Size f App Den PUC4_2: ASSESSORS USE ONLY Parcel Size f App Den PUC4_3: ASSESSORS USE ONLY Parcel Size f App Den PUC4_4: Print Name and title if applicable: undefined: Telephone: File Date_2: County_2: YavapieKey Parcel: OWNER Name Please Print: Key Parcel_2: NAME: NMr: Mr. Steve HamptonADDRESS: DDRESS: P O Box 134START DATE: END DATE: undefined_2: Property Location: Acres Leased to Tenant Land Use: GRCarrying Capacity Annual AUMs_2: fill_29: -0-fill_30: -0-fill_31: _0_If rent is paid in a form other than cash report the approx cash equivalent Provide explanation in the box belowRow1: 3 Other Conditions rent increases option to renew residence included in the rent etc: Expense ItemRow1: Expense Item: fill_32: Expense ItemRow2: Expense Item_2: fill_33: Expense ItemRow3: Expense Item_3: fill_34: Signature of Lessor or Representative: Date: Print Name and Title if applicable: Telephone_2: Email address: File Date_4: County_3: YavapieLESSOR NAME PLEASE PRINT: TENANT NAME PLEASE PRINT: Steve HamptonTotal Acres Leased to Tenant: 36Carrying Capacity Annual AUMs_3: Item 1Row1: Land Use see codesRow1_2: GRRow1_12: 36Land Use see codes2_2: 2_11: 3_10: Land Use see codes3_2: 3_11: 4_3: Land Use see codes4_2: 4_4: 5: Land Use see codes5: 5_2: 6: Land Use see codes6: 6_2: 7: Land Use see codes7: 7_2: File Date_3: 2_10: 2_10A: Acres Leased: Check Box2: YesCheck Box3: OffWhole: OffPortiion: OffCheck Box6: OffCheck Box7: OffCheck Box8: OffCheck Box9: OffCounty: YavapieNo: YesText11: Text12: Text13: Kirkland AZ 83362Text14: Ampount: -0-True: OffMeet requirements: OffProfit: OffCheck Box10: OffCheck Box11: OffCheck Box12: Off