Form 54-064 - Combined Request For Pollution Control And Recycling Property Tax Exemption And Certification Of Pollution Control And Recycling Property Page 2

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Combined Request for
Page 2
Pollution Control and Recycling Property Tax Exemption and
Certification of Pollution Control and Recycling Property
Requests for recycling property need only complete (a), (e), and (f).
(a) Describe the commercial operation or process in connection with which the property is used. If any such information in considered
to be confidential within the meaning of Section 561-2.5(7), of the Department of Natural Resources rules, a request for determination
of confidentiality should be attached. If the property is a part of a confinement feeding operation, include a statement of the number
and kind of animals confined. If recycling property list type of material recycled and the new raw material manufactured.
(b) Describe the process which the property removes, treats or disposes of air contaminants, sewage, industrial waste or other waste.
Confinement feeding operators and recycling facility managers are not required to complete this item.
(c) Describe the types and quantities of air contaminants, sewage, industrial waste or other waste which is removed, treated or disposed
of by the property. Confinement feeding operators and recycling facility managers are not required to complete this item.
54-064b (7/99)

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