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7. PROPERTY DESCRIPTION AS OF JANUARY 5, 2023 – Property uses, retail units, dwellings, parking spaces.
NUMBER OF BUILDINGS NUMBER OF STORIES ABOVE GRADE YEAR OF CONSTRUCTION
NUMBER OF DWELLING UNITS NUMBER OF RETAIL UNITS NUMBER OF VEHICLE PARKING SPACES
Indoor: ______________ Outdoor: ________________
YEAR OF PURCHASE NUMBER OF VEHICLE PARKING SPACES PAID
Indoor: ______________ Outdoor: ________________
USES (residential, office, retail, hotel, loft, factory, warehouse, storage, garage, theater, etc.).
FLOORS 3 -___ _________________________________________________________________________________________________________________________________
SECOND FLOOR _________________________________________________________________________________________________________________________________
FIRST FLOOR
BASEMENTS _________________________________________________________________________________________________________________________________
OUTDOOR SPACE (e.g. cell tower/telecom equipment, signage, generators)_______________________________________________________________________________________________
8. APPROXIMATE GROSS FLOOR AREA AS OF JANUARY 5, 2023
Floor All uses (above grade) Retail Garage Offices
FLOORS 3 - ___ sq.ft. sq.ft. sq.ft. sq.ft.
SECOND FLOOR sq.ft. sq.ft. sq.ft. sq.ft.
FIRST FLOOR sq.ft. sq.ft. sq.ft. sq.ft.
BASEMENTS sq.ft. sq.ft. sq.ft.
TOTAL AREA sq.ft. sq.ft. sq.ft. sq.ft.
9. USE BY APPLICANT
On January 5, 2023, was any of the property used by the Applicant or related persons? _______. If YES, complete this Part 9.
Use by Applicant: Entire property. Part. Specify location in building ___________________________________________________________
Approximate nonresidential gross floor area used by Applicant _______________ sq.ft., of which first floor ______________, basement ____________
Describe Applicant's use ______________________________________________________________________________________________________
__________________________________________________See instructions if used as a department store, public parking garage or lot, theater or hotel.
10. SALE, DEMOLITION OR CONSTRUCTION AFTER JANUARY 5, 2021 – Failure to answer BOTH questions will result
in denial of review.
Has the property or an interest in it been bought, sold, transferred or placed under contract of sale after January 5, 2021? Yes No. Tobe provided at
or before hearing (see instructions.). If YES, submit Form TC230 or TC200 (submit TC200 for transfers between related parties only.)
After January 5, 2021, has there been any construction, demolition or major alteration work or have plans for demolition or a new building been filed with
the Buildings Dept.? Yes No. If YES, submit Form TC200.
BOROUGH BLOCK LOT
11. SIGNATURE AND OATH
This application must be signed by an individual having personal knowledge of the facts who is the Applicant, a fiduciary, an agent, or an officer of a corporation,
a general partner of a partnership or a member or manager of a limited liability company (LLC), which legal entity either is the Applicant or a general partner or
member or manager of the Applicant. See instructions. NOTE: Forms TC200, TC244 and/or a Power of Attorney may be required. If required and not
attached to this application, it will be dismissed.
Signer is (check one of boxes i-vii below): If box (v) or (vi) is checked, Mark application “Special Counsel Review” on the top of page 1.)
i . The Applicant named in Part 2. (Check this box only if Applicant is an individual.)
ii. Officer of corporate Applicant named in Part 2. Title: _________________________________________
iii. General partner of partnership Applicant named in Part 2.
iv. Member or manager of, or individual officer of LLC Applicant named in Part 2. Signer’s Title: _______________________________
v. An attorney, employee, property manager or other agent for Applicant named in Part 2. TC244 and a notarized power of attorney must be attached.
vi. Fiduciary. Specify fiduciary’s relationship to Applicant __________________________ Form TC200 may be required. See TC200INS (instructions).
If signing as fiduciary for a corporation, partnership or LLC, enter name of entity: _______________________________________________
vii. An officer, general partner, or member or manager of an entity that is the general partner, member or manager of the Applicant.
Enter name of entity, relationship to Applicant and signer’s title: Name of entity __________________________________________________________
Relationship to Applicant _________________________________________________ Signer’s Title: ________________________________________
OATH I have read this entire application before signing below, including all instructions, whether on this form or on another. I am personally
responsible for the accuracy of the information provided on this application and on any attachments and I certify that all such information is true
and correct to the best of my knowledge and belief. I also understand that such information is subject to verification, is being relied upon by the
City of New York and that the making of any willfully false statement of material fact on this application or any attachments will subject me to the
provisions of the penal law relevant to the making and filing of false statements.
PRINT CLEARLY NAME OF PERSON SIGNING ____________________________________________________
Signed: ___________________________________________________________Date _____________________
The signer must appear and acknowledge the signature before a notary.
Sworn to before me (signature of notary): ________________________________________________________
NOTARY STAMP
County __________________________ State ___________________________ Date _________________
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