RPW_V03.001_RPT_FILE300 944HP LaserJet 5L (Copy 1)œCï€ê odXXÿÿÿÿDINU"Ø£Z“°ØSMTJÈHP LaserJet 5LInputBinUPPERRESDLLUniresDLLOrientationPORTRAITResolutionOption1PaperSizeLETTEREconomodeOption1RETOption1HalftoneHT_PATSIZE_AUTO 48)winspoolHP LaserJet 5L (Copy 1)Ne05: 2.000 64.000 2.000 2.000 80Report TitleY 105 105YYYNc:\WinGAP\data\reval2\DD_RDD.INI 1 9rpSection02 211 360 360 14 360 1 15840 12240NStandard Report (No Columns) 0 0 0 0 0N 1 195 0 15Y 12rpDataSource02 3N 2 19Realprop.RealkeyN 20Saleinfo.SaledateN 1 10rpRDDTable02 115DBFCDXC:\WINGAP\DATA\REVAL2\REALPROPRealproprealpropC:\WINGAP\DATA\REVAL2\REALPROP.CDX 0nreal0 4 10rpRDDTable02 119DBFCDXC:\WINGAP\DATA\REVAL2\OWNEROwnerownerC:\WINGAP\DATA\REVAL2\OWNER.CDX 0ownkeyRealprop.Ownkey1 0 10rpRDDTable02 224DBFCDXC:\WINGAP\DATA\REVAL2\SALEINFOSaleinfosaleinfoC:\WINGAP\DATA\REVAL2\SALEINFO.CDX 0str( Saleinfo.Realkey, 10, 0 ) + str( 99999999 - val( dtos( Saleinfo.Saledate ) ), 8, 0)str(Realprop.Realkey,10,0)1 0 10rpRDDTable02 117DBFCDXC:\WINGAP\DATA\REVAL2\ZIPZipzipC:\WINGAP\DATA\REVAL2\ZIP.CDX 0Zip.Zipleft(Realprop.Zip,5)1 0 10rpRDDTable02 83DBFCDXC:\WINGAP\DATA\REVAL2\DEFAULTSDefaults4defaults 0' '' '1 005 54 -100 15120NBackground BandNNN 0 0 605 50 -1 0NPage HeaderNNN 0 005 66 0 0NGroup Hdr: Realprop.RealkeyNNN 0 005 48 500 15120NPage BodyNNN 0 113 502 223 0 7455 11445 2940 20 0 0 20 0 0 20 0 0 20 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 0 13230 11445 1785 0 0 0 0 0 0 0 0 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 0 10710 11445 2415 0 0 0 0 0 0 0 0 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 0 13230 11445 525 0 0 0 0 0 0 0 0 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 602 223 15 10710 11325 840 0 -1 0 0 -1 0 0 -1 0 0 -1 0 13 0 -2 30 30 -2 16777215N 330 33002 652I, the undersigned, do hereby solemnly swear, covenant and agree that all the information contained above, as well as the information provided on the questionnaire, is true and correct to the best of my knowledge and that the above described property qualifies under the ownership and land use provisions of O.C.G.A. Section 48-5-7.7. I further swear that I am authorized to sign this application on behalf of the owner(s) making application. I am also aware that certain penalty provisions are applicable if this covenant is breached pursuant to O.C.G.A. § 16-10-20.  000ARIAL -140 0NNNN 0 0" 0 202 223 0 5985 7245 630 0 0 0 0 0 0 0 0 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 33003 151AddressBlk( Owner.Address1 , Owner.Address2 , Owner.Address3 , , , ) 0YNN00ARIAL -140 0NNNN 0 0" 0 602 223 9780 6930 1680 525 0 0 0 0 0 0 0 0 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 33002 101 _____________________  000ARIAL -140 0NNNN 0 0" 0 602 223 0 3990 11445 315 0 -1 0 0 -1 0 0 -1 0 0 -1 0 13 0 -2 30 30 -2 16777215N 330 33002 144APPLICATION AND QUESTIONNAIRE FOR FOREST LAND CONSERVATION USE PROPERTY 100ARIAL -160 0YNNN 0 0" 0 702 223 0 4305 11445 735 0 0 0 0 0 0 0 0 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 33001 17rpEmbeddedSection02 211 0 0 0 0 1 735 11445NStandard Report (No Columns) 0 0 0 0 0N 1 0 0 15Y 12rpDataSource02 3N 0 1 10rpRDDTable02 76DBFCDXC:\WINGAP\DATA\REVAL2\DEFAULTSDefaultsdefaults 00 005 54 -100 735NBackground BandNNN 0 0 205 48 500 1110NPage BodyNNN 0 1 202 223 15 90 11310 840 0 -1 0 0 -1 0 0 -1 0 0 -1 0 13 0 -2 30 30 -2 16777215N 330 33003 82co 0YNN00ARIAL -160 0NNNN 0 0 005 46 1002 0NSummaryNNN 0 0 0 201 157cnSECTION 1""iif( at('county' , lower(defaults.coname)) > 0, properize(trim(defaults.coname)) , properize(trim(defaults.coname)) + ' County'BODYBAND01 458coSECTION 2""'To the Board of Tax Assessors of ' + cn +': ' + 'In accordance with the provisions of O.C.G.A. 48-5-7.7, I submit this application and the completed questionnaire on the back of this application for consideration of Forest Land Conservation Use value assessment on the property described herein. Along with this application, I am submitting the fee of the Clerk of Superior Court for recording such application if approved.'BODYBAND 0 602 223 0 5250 11445 210 0 0 0 0 0 0 0 0 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 33002 90Name of Owner :  000ARIAL -140 0YNNN 0 0" 0 202 223 0 5460 11445 315 0 0 0 0 0 0 0 0 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 33003 147trim(owner.lastname)+' ' + trim(owner.firstname)+' ' + owner.middle 0YNN00ARIAL -140 0NNNN 0 0" 0 202 223 7260 5985 4200 630 0 0 0 0 0 0 0 0 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 33003 213trim(Owner.City)+' '+trim(owner.state)+' '+iif(substr(owner.zip,6,1)>' ',left(owner.zip,5)+'-'+right(owner.zip,5),left(owner.zip,5)) 0YNN00ARIAL -140 0NNNN 0 0" 0 602 223 7260 5775 4200 210 0 0 0 0 0 0 0 0 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 33002 93City, State and Zip: 000ARIAL -140 0YNNN 0 0" 0 602 223 0 5775 7245 210 0 0 0 0 0 0 0 0 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 33002 96Owner's Mailing Address 000ARIAL -140 0YNNN 0 0" 0 602 223 0 6930 7665 210 0 0 0 0 0 0 0 0 0 0 -1 0 13 0 -2 30 30 -2 16777215N 330 33002 100Property physical location: 000ARIAL -140 0NNNN 0 0" 0 202 223 0 7140 7665 315 0 0 0 0 -1 0 0 0 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 33003 494iif(realprop.house_no > 0,alltrim(str(Realprop.House_No,5,0)), '')+' '+trim(realprop.extension)+' '+trim(Realprop.Stdirect)+' '+trim(Realprop.Street_Nam)+' '+trim(Realprop.Sttype)+' '+alltrim(Realprop.Unit) + ' ' + iif(len(alltrim(realprop.zip)) > 0 , trim(zip.City)+' '+trim(zip.state) + ' ' + iif(substr(realprop.zip,6,1) > ' ', left(realprop.zip,5) + '-' + right(realprop.zip,4) , left(realprop.zip,5)))), ' ') 0YNN00ARIAL -140 0NNNN 0 0" 0 602 223 7680 6930 2100 525 0 0 0 0 0 0 0 0 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 33002 126Total number of acres included in this application. 000ARIAL -140 0NNNN 0 0" 0 202 223 4320 7665 945 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 33003 97Realprop.Landdist 0YNN00ARIAL -140 0NNNN 0 0" 0 202 223 7050 7665 -1575 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 33003 96Realprop.Landlot 0YNN00ARIAL -140 0NNNN 0 0" 0 202 223 7260 7665 1260 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 33003 113saleinfo.deedpage@R XXXXX - XXXXX 0YNN00ARIAL -140 0NNNN 0 0" 0 602 223 0 10395 11445 315 0 0 0 0 0 0 0 0 0 0 0 0 13 226 -2 30 30 -1 14407632N 330 33002 112 AUTHORIZED SIGNATURE  100ARIAL -180 0YNNN 0 0" 0 602 223 0 12915 11445 315 0 0 0 0 0 0 0 0 0 0 0 0 13 0 -2 30 30 -1 14407632N 330 33002 99FOR TAX ASSESSORS USE ONLY 100ARIAL -180 0YNNN 0 0" 0 702 223 0 14175 11445 -420 0 -1 0 0 -1 0 0 -1 0 0 -1 0 13 0 -2 30 30 -2 16777215N 330 33001 17rpEmbeddedSection02 211 0 0 0 0 1 600 11400NStandard Report (No Columns) 0 0 0 0 0N 1 0 0 15Y 12rpDataSource02 3N 0 1 10rpRDDTable02 77DBFCDXC:\WINGAP\DATA\REVAL2\DEFAULTSDefaults3defaults 00 005 54 -100 600NBackground BandNNN 0 0 205 48 500 720NPage BodyNNN 0 1 202 223 30 0 11250 720 0 -1 0 0 -1 0 0 -1 0 0 -1 0 13 0 -2 30 30 -2 16777215N 330 33003 349"Based on the information submitted above, as well as the information provided on the questionnaire, the " + alltrim(Defaults3.Coname) + " County Board of Tax Assessors has considered such information and has made the following final determination of this application:" 0YNN00ARIAL -160 0NNNN 0 0" 005 46 1002 0NSummaryNNN 0 0 0 0 0 202 223 4530 13230 1140 315 0 -1 0 0 -1 0 0 -1 0 0 -1 0 13 0 -2 30 30 -2 16777215N 330 33003 94'Covenant # ' 0YNN00ARIAL -160 0NNNN 0 0" 0 602 223 5670 13545 945 210 0 -1 0 0 -1 0 0 -1 0 0 -1 0 13 0 -2 30 30 -2 16777215N 330 33002 77(Yr) 100ARIAL -140 0NNNN 0 0" 0 602 223 11340 14595 -8295 420 0 -1 0 0 -1 0 0 -1 0 0 -1 0 13 0 -2 30 30 -2 16777215N 330 33002 326If denied, O.C.G.A. § 48-5-7.7 provides that the County Board of Tax Assessors shall issue a notice to the owner(s) in the same manner as all other notices are issued pursuant to O.C.G.A. § 48-5-306 which can be appealed pursuant to O.C.G.A. § 48-5-311. 000ARIAL -140 0NNNN 0 0" 0 602 223 9660 14280 1470 210 0 -1 0 0 0 0 0 -1 0 0 -1 0 13 0 -2 30 30 -2 16777215N 330 33002 77Date 100ARIAL -140 0YNNN 0 0" 0 602 223 0 5040 11445 240 0 0 0 0 0 0 0 0 0 0 0 0 13 226 -2 30 30 -1 14407632N 330 33002 94OWNERSHIP INFORMATION 100ARIAL -180 0YNNN 0 0" 0 602 223 0 6930 11460 -315 0 0 0 0 0 0 0 0 0 0 0 0 13 226 -2 30 30 -1 14407632N 330 33002 96PROPERTY IDENTIFICATION 100ARIAL -180 0YNNN 0 0" 0 602 223 15 7455 1995 210 0 -1 0 0 -1 0 0 -1 0 0 -1 0 13 0 -2 30 30 -2 16777215N 330 33002 84County Name 000ARIAL -140 0YNYN 0 0" 0 602 223 2220 7455 1890 210 0 -1 0 0 -1 0 0 -1 0 0 -1 0 13 0 -2 30 30 -2 16777215N 330 33002 90County Parcel ID# 000ARIAL -140 0YNYN 0 0" 0 602 223 4320 7455 945 210 0 -1 0 0 -1 0 0 -1 0 0 -1 0 13 0 -2 30 30 -2 16777215N 330 33002 81District 000ARIAL -140 0YNYN 0 0" 0 602 223 7050 7455 -1575 210 0 -1 0 0 -1 0 0 -1 0 0 -1 0 13 0 -2 30 30 -2 16777215N 330 33002 81Land Lot 000ARIAL -140 0YNYN 0 0" 0 602 223 7260 7455 1260 210 0 -1 0 0 -1 0 0 -1 0 0 -1 0 13 0 -2 30 30 -2 16777215N 330 33002 87Deed Book/Page 000ARIAL -140 0YNYN 0 0" 0 602 223 8625 7455 1155 210 0 -1 0 0 -1 0 0 -1 0 0 -1 0 13 0 -2 30 30 -2 16777215N 330 33002 87Plat Book/Page 000ARIAL -140 0YNYN 0 0" 0 602 223 11460 7455 -1470 210 0 -1 0 0 -1 0 0 -1 0 0 -1 0 13 0 -2 30 30 -2 16777215N 330 33002 78Acres 000ARIAL -140 0YNYN 0 0" 0 202 223 8625 7665 1155 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 33003 113saleinfo.plotpage@R XXXXX - XXXXX 0YNN00ARIAL -140 0NNNN 0 0" 0 202 223 9990 7665 1470 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 33003 99realprop.totalacres 2YNN00ARIAL -140 0NNNN 0 0" 0 202 223 2220 7665 1890 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 33003 98Realprop.parcel_no 0YNN00ARIAL -140 0NNNN 0 0" 0 202 223 15 7665 1995 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 33003 87cCounty 0YNN00ARIAL -140 0NNNN 0 0" 0 502 223 15 7980 1995 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 2220 7980 1890 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 4320 7980 945 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 5475 7980 1575 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 7260 7980 1260 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 8625 7980 1155 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 9990 7980 1470 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 15 8295 1995 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 2220 8295 1890 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 4320 8295 945 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 5475 8295 1575 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 7260 8295 1260 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 8625 8295 1155 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 9990 8295 1470 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 15 8610 1995 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 2220 8610 1890 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 4320 8610 945 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 5475 8610 1575 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 7260 8610 1260 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 8625 8610 1155 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 9990 8610 1470 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 15 8925 1995 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 2220 8925 1890 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 4320 8925 945 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 5475 8925 1575 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 7260 8925 1260 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 8625 8925 1155 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 9990 8925 1470 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 15 9240 1995 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 2220 9240 1890 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 4320 9240 945 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 5475 9240 1575 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 7260 9240 1260 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 8625 9240 1155 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 9990 9240 1470 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 602 223 8505 11760 2520 210 0 -1 0 0 0 0 0 -1 0 0 -1 0 13 0 -2 30 30 -2 16777215N 330 33002 95Date Application Filed 100ARIAL -140 0NNNN 0 0" 0 602 223 5145 11760 -4935 210 0 -1 0 0 0 0 0 -1 0 0 -1 0 13 0 -2 30 30 -2 16777215N 330 33002 128Signature of Owner or Owner's Authorized Representative 100ARIAL -140 0NNNN 0 0" 0 602 223 5145 12180 -4935 210 0 -1 0 0 0 0 0 -1 0 0 -1 0 13 0 -2 30 30 -2 16777215N 330 33002 128Signature of Owner or Owner's Authorized Representative 100ARIAL -140 0NNNN 0 0" 0 602 223 5775 12180 2940 210 0 -1 0 0 -1 0 0 -1 0 0 -1 0 13 0 -2 30 30 -2 16777215N 330 33002 116*Additional owners may sign on back of form 000ARIAL -140 0NNNN 0 0" 0 202 223 5670 13230 945 315 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 33003 135iif(defaults4.digyr > 0, str(Defaults4.Digyr,4,0), ' ') 1YNN00ARIAL -160 0NNNN 0 0" 0 202 223 6615 13230 1050 315 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 33003 95Defaults4.Conum 1YNN00ARIAL -160 0NNNN 0 0" 0 202 223 8925 13230 -1260 315 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 33003 106right(realprop.flappnum,6) 1YNN00ARIAL -160 0NNNN 0 0" 0 602 223 6615 13545 1050 210 0 -1 0 0 -1 0 0 -1 0 0 -1 0 13 0 -2 30 30 -2 16777215N 330 33002 86(County Code) 100ARIAL -140 0NNNN 0 0" 0 602 223 7665 13545 1260 210 0 -1 0 0 -1 0 0 -1 0 0 -1 0 13 0 -2 30 30 -2 16777215N 330 33002 85(Covenant #) 100ARIAL -140 0NNNN 0 0" 0 502 223 15 9555 1995 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 9990 9555 1470 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 4320 9555 945 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 5475 9555 1575 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 7260 9555 1260 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 8625 9555 1155 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 2220 9555 1890 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 15 9870 1995 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 9990 9870 1470 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 4320 9870 945 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 5475 9870 1575 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 7260 9870 1260 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 8625 9870 1155 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 2220 9870 1890 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 15 10185 1995 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 9990 10185 1470 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 4320 10185 945 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 5475 10185 1575 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 7260 10185 1260 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 8625 10185 1155 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 2220 10185 1890 210 0 -1 0 0 -1 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 602 223 210 12495 6300 210 0 -1 0 0 -1 0 0 -1 0 0 -1 0 13 0 -2 30 30 -2 16777215N 330 33002 152Sworn to and subscribed before me this ________ day of ________________________ 000ARIAL -140 0NNNN 0 0" 0 602 223 8505 12705 2520 210 0 -1 0 0 0 0 0 -1 0 0 -1 0 13 0 -2 30 30 -2 16777215N 330 33002 86Notary Public 100ARIAL -140 0NNNN 0 0" 0 602 223 4620 14280 3465 210 0 -1 0 0 0 0 0 -1 0 0 -1 0 13 0 -2 30 30 -2 16777215N 330 33002 95Board of Tax Assessors 100ARIAL -140 0YNNN 0 0" 0 602 223 0 14175 3045 210 0 -1 0 0 -1 0 0 -1 0 0 -1 0 13 0 -2 30 30 -2 16777215N 330 33002 111Approved: _____ Date: _______________ 000ARIAL -140 0NNNN 0 0" 0 602 223 0 14595 3045 210 0 -1 0 0 -1 0 0 -1 0 0 -1 0 13 0 -2 30 30 -2 16777215N 330 33002 110Denied: _____ Date: ________________ 000ARIAL -140 0NNNN 0 0" 0 602 223 0 0 1965 210 0 -1 0 0 -1 0 0 -1 0 0 -1 0 13 0 -2 30 30 -2 16777215N 330 33002 93PT-48-5-7.7 (May 09) 000ARIAL -120 0NNNN 0 0" 0 202 223 0 13230 2625 225 0 -1 0 0 -1 0 0 -1 0 0 -1 0 13 0 -2 30 30 -2 16777215N 330 33003 185"Covenant: Begins: Jan 1, " + iif(realprop.Flcy = space(4), alltrim(str(Defaults4.Digyr)), realprop.flcy) 0YNN00ARIAL -160 0NNNN 0 0 0 202 223 4515 13230 -1890 225 0 -1 0 0 -1 0 0 -1 0 0 -1 0 13 0 -2 30 30 -2 16777215N 330 33003 195"Ends: Dec 31, " + iif(realprop.flcy = space(4),alltrim(str(Defaults4.Digyr +14)), str(val(realprop.flcy) + 14,4,0) 0YNN00ARIAL -160 0NNNN 0 0 005 66 1000 0NGroup Ftr: Realprop.RealkeyYNN 0 005 50 1001 0NPage FooterNNN 0 005 46 1002 0NSummaryNNN 0 0 100 34Realprop.RealkeyRealprop.Realkey 101 61cCountySECTION 1' 'alltrim(Defaults4.Coname)BODYBAND 1 9rpSection02 227 360 360 14 360 1 15840 12240NStandard Report (No Columns) 0 0 0 0 0N 1 229 0Realprop.Realkey 15Y 12rpDataSource02 39Realprop1.Realkey = realprop.realkeyN 0 1 10rpRDDTable02 116DBFCDXC:\WINGAP\DATA\REVAL2\REALPROPRealprop1realpropC:\WINGAP\DATA\REVAL2\REALPROP.CDX 0nreal0 005 54 -100 15120NBackground BandNNN 0 0 205 48 500 13560NPage BodyNNN 0 40 602 223 0 8190 1155 840 0 0 0 0 0 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 33002 96 ( )Yes ( )No  000ARIAL -160 0NNNN 0 0" 0 602 223 8340 360 -7185 240 0 -1 0 0 0 0 0 -1 0 0 0 0 13 226 -2 30 30 -1 14407632N 330 33002 136FOREST LAND CONSERVATION ASSESSMENT QUESTIONNAIRE - PT-48-5-7.7 100ARIAL -180 0YNNN 0 0" 0 602 223 11445 705 -11445 270 0 0 0 0 0 0 0 0 0 0 0 0 13 0 -2 30 30 -1 14407632N 330 33002 110Check Appropriate Ownership Type:  000ARIAL -180 0YNNN 0 0" 0 602 223 0 990 11445 1005 0 0 0 0 0 0 0 0 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 33002 313 [ ] One or more individuals [ ] Entity registered to do business in the State of Georgia (county tax official may request verification of registration. Such verification may include sales tax number, FEI number, etc.)  000ARIAL -160 0NNNN 0 0" 0 602 223 0 6360 11445 1725 0 0 0 0 0 0 0 0 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 33002 556 [ ] Promotion, preservation, or management of wildlife habitat ___________ [ ] Carbon sequestration. Is the property listed on the Georgia Carbon Sequestration Registry ( ) Yes ( ) No # ______________ [ ] Mitigation or conservation use banking to restore or conserve wetlands and other natural resources ______________ [ ] Production or maintenance of ecosystem products and services such as, but not limited to, clean air and water ______________  000ARIAL -160 0NNNN 0 0" 0 602 223 11460 5670 -11460 630 0 0 0 0 0 0 0 0 0 0 0 0 13 0 -2 30 30 -1 14407632N 330 33002 329In addition to the primary use of the property as specified in the application, specific secondary uses are permitted. Please indicate if any of the following are applicable to the property covered by this application and the total amount of acreage used: 000ARIAL -160 0YNNN 0 0" 0 602 223 1155 360 -1155 240 0 0 0 0 0 0 0 -1 0 0 0 0 13 226 -2 30 30 -1 14407632N 330 33002 73 100ARIAL -180 0YNNN 0 0" 0 202 223 8340 360 3105 240 0 -1 0 0 0 0 0 0 0 0 0 0 13 0 -2 30 30 -1 14407632N 330 33003 120'PIN: ' + alltrim(Realprop1.Parcel_No) 2YNN00ARIAL -160 0NNNN 0 0" 0 502 223 0 4305 4200 315 0 0 0 0 0 0 0 0 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 4200 4305 7245 315 0 0 0 0 0 0 0 0 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 602 223 60 0 2415 270 0 -1 0 0 -1 0 0 -1 0 0 -1 0 13 0 -2 30 30 -2 16777215N 330 33002 106EXHIBIT A: PT-48-5-7.7 (March 09) 000ARIAL -140 0NNNN 0 0" 0 602 223 0 3780 11445 270 0 0 0 0 0 0 0 0 0 0 0 0 13 0 -2 30 30 -1 14407632N 330 33002 168OTHER COUNTIES AND ACREAGE included in this application for FOREST LAND PROTECTION COVENANT  100ARIAL -180 0YNNN 0 0" 0 602 223 0 4050 4200 255 0 0 0 0 0 0 0 0 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 33002 79County 000ARIAL -180 0YNNN 0 0" 0 602 223 4200 4050 7245 255 0 0 0 0 0 0 0 0 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 33002 122Property Description/Other County Parcel#/Acreage 000ARIAL -180 0YNNN 0 0" 0 502 223 0 4620 4200 315 0 0 0 0 0 0 0 0 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 0 4935 4200 315 0 0 0 0 0 0 0 0 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 0 5250 4200 315 0 0 0 0 0 0 0 0 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 4200 4620 7245 315 0 0 0 0 0 0 0 0 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 4200 4935 7245 315 0 0 0 0 0 0 0 0 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 4200 5250 7245 315 0 0 0 0 0 0 0 0 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 602 223 11445 8190 -10290 840 0 -1 0 0 0 0 0 0 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 33002 254Is this property or any portion thereof being leased? If yes, briefy explain how the property is being used by the lessee, as well as the amount of acreage of the property leased.  000ARIAL -160 0NNNN 0 0" 0 602 223 11445 9030 -10290 840 0 -1 0 0 0 0 0 0 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 33002 234Is the property or any portion thereof currently being used for fishing purposes where admission is charged? If yes, please indicate amount of acreage so used.  000ARIAL -160 0NNNN 0 0" 0 602 223 11445 9870 -10290 735 0 -1 0 0 0 0 0 0 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 33002 219Is the property or any portion thereof currently being used for the production of pine straw? If yes, please indicate amount of acreage so used.  000ARIAL -160 0NNNN 0 0" 0 602 223 0 9030 1155 840 0 0 0 0 0 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 33002 96 ( )Yes ( )No  000ARIAL -160 0NNNN 0 0" 0 602 223 0 9870 1155 735 0 0 0 0 0 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 33002 96 ( )Yes ( )No  000ARIAL -160 0NNNN 0 0" 0 602 223 0 10605 1155 840 0 0 0 0 0 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 33002 96 ( )Yes ( )No  000ARIAL -160 0NNNN 0 0" 0 602 223 11445 10605 -10290 840 0 -1 0 0 0 0 0 0 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 33002 147Is there a residence on the property? If yes, provide the street address. 000ARIAL -160 0NNNN 0 0" 0 602 223 0 12495 1155 1050 0 0 0 0 0 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 33002 96 ( )Yes ( )No  000ARIAL -160 0NNNN 0 0" 0 602 223 1155 12495 10290 1050 0 -1 0 0 0 0 0 0 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 33002 218Is there any type of business operated on this property? If yes, please indicate business name, type of business, and amount of acreage so used. 000ARIAL -160 0NNNN 0 0" 0 502 223 0 2730 4200 315 0 0 0 0 0 0 0 0 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 4200 2730 7245 315 0 0 0 0 0 0 0 0 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 4200 3360 7245 315 0 0 0 0 0 0 0 0 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 602 223 0 2460 4200 270 0 0 0 0 0 0 0 0 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 33002 83Print Name 000ARIAL -180 0YNNN 0 0" 0 602 223 4200 2460 7245 270 0 0 0 0 0 0 0 0 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 33002 87Signature/Date 000ARIAL -180 0YNNN 0 0" 0 502 223 0 3045 4200 315 0 0 0 0 0 0 0 0 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 0 3360 4200 315 0 0 0 0 0 0 0 0 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 502 223 4200 3045 7245 315 0 0 0 0 0 0 0 0 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 330 602 223 0 2190 11445 270 0 0 0 0 0 0 0 0 0 0 0 0 13 0 -2 30 30 -1 14407632N 330 33002 116Additional Owner Signatures (if needed)  100ARIAL -180 0YNNN 0 0" 0 602 223 0 11445 1155 1050 0 0 0 0 0 0 0 -1 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 33002 96 ( )Yes ( )No  000ARIAL -160 0NNNN 0 0" 0 602 223 11445 11445 -10290 1050 0 -1 0 0 0 0 0 0 0 0 0 0 13 0 -2 30 30 -2 16777215N 330 33002 261Are there other real property improvements located on this property? If yes, briefly list and describe these real property improvements on a separate sheet and attach to this application. 000ARIAL -160 0NNNN 0 0" 005 46 1002 0NSummaryNNN 0 0 0 101 63nrealSECTION 1realprop.realkeyrealprop.realkeyBODYBAND 0