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zo� 2 <br /> C?BE FILEd WITH � �0�� <br /> � �� torTax Ex�mption on R litying Drganizations ��� <br /> OU � SE550R <br /> ;' Faiiure ta preperly camplete or fife thi 7l in a disapprov�i of the exempiian. <br /> : e Ora .iza[ion �punty Gnunry f�o. -fype of Owr:er&hip� <br /> TART CHILD &FAMILY DEV H211 4p � �7anpratitGcrpa'atior <br /> eei pr .r PAai;inp Address State lr.r,orp{�ra?ed � �iher{Speci'lyl <br /> 123 MARIAN RD EBRASKA <br /> Gity Stato iip Code Actual Parcel or Lacatior ld NumL-er <br /> HASTINGS NE 68901 294 381 400107155 <br /> Legal deseripiicn o`:real property and��ne;a;description of a!I tangibla parsonzl p aHy,except lic d motor veh:cies: <br /> LIL' COW P�K�S 5UB'�T 1 (31� N PIPER) <br /> Title af Otl`icers, <br /> Y-Y-•-Name __.._.�---�.•_--•-- Direclors^or Partners Address;Cit ,State,Zi Cvde - - -----,Y-.-•••---n^ <br /> -------•�•--•� - <br /> - • - ----•- •----- ------°•••-�---- -.....�.- ------• -------- ------- - <br /> ' � ' ` GTI��I � 1�t� �04�'1�, <br /> 1 e� ►r� es i dcn t z �c.�n � tl 1.J r` �'�� <br /> PI'p�1B'ty GE5f.i'�llBC�7}YJf)V8 IS U$2(�I!I YI1t'.10IIOW'IYI�P.XEYfI�II CE1tE�q1',�(p:eaFe rnark the applicabl�bexrs): � <br /> �A,.griculWral/Hcriiculiural Society' �EducaYional �Religioue �Gharitable �Gemetery <br /> Gi��a a detai�Ed description of ha use of?ha prop�Ry: �^L�����-�- �� ��� �(�.�� 11.-� (�T �(`�,�Gln.�ai,. <br /> L��-� <br /> f�t�aC-I r7��' ���r-t,,,r,��. ��er �.'� b'.tir- c� c�v'�r-�� ��-nr-��i c�.��.r.,'� <br /> GC e.�rcut"C�5� � Gie:e�-rr�i r�i 5 i—�7.JC� �'u�c�'��S,. `J <br /> "Agri�ulturai/HorticuEturaE�ociaty does not need to compiete ihe ioliowing questions. <br /> �'ryII q�illP PYO�]E'ty usad sxc?u&ively as describ�d abova? YES NO <br /> s H pr,rti�r,af tFie prcr}e�ky u:ed iut thF saie o3 afcoYroiic t�everages7 YtiS �1V0 11 Yes,st�air,thr^nurnber r�!hours per wa�k <br /> Is the prop�riy owned o�'usad by an organizatian which discriinirates in <br /> mem�ership or empleyment based on race,color,er nationa!origin? �Y�B �PJO <br /> Under pcnalties cf law,I declare ihat I have examined ihis ex�mption appiication and,to the t�si of my'snowiedg�ard beliet;it i�correct and <br /> cnm�rst�s.I a;sn declare lhat I arri culy auth:crixed to si_r.n tiiis eaern)�tion appfr.atinn. <br /> � � �.��-rv�l�iTe e rrsr"` )1 a-S I <br /> ��g� ���-�l Ttle pat� <br /> 9..��r� Au.horiz�dSignature <br /> 19 <br /> •-•�-------•-----�.••-•_----_°--_-�mT-�.-•-••�---_••-••�-•�--�_••-_•-.-- ----_-•••••••-.__------ _...�...•••••�•_•-_ _••_-°---••••.�..,-� <br /> r-f' �OR CdL1P1TY ASSESSOR'S RECOMMENT3ATiON <br /> � A?PHOVAL CC7��^fv1EN35: �('e �.-,nl1� � l`c�.�7 <br /> � ___ — <br /> L; APPROVAL OF A PPRTIJN <br /> C I]ISAPrROVAL �f <br /> �Signatu `Cowity Assessor Qate <br /> L---------.�--.-.�•-••....m.--------.�•••.-------°••���--- FOR CDUNTY BOA- ---¢-----•-•••-••••••-•----• •--°•-••.••.-°--- �••-•_•-•••-.•..- <br /> F EQLIALIZATION USE ANLY <br /> I dcclare tliat,to the k��st af my Kri�iw:edg�and belief,the determin�tl'wn h°re6y made by,hc�Cnunty P�:�rd ut Equali-ra4inn is:�:rrect pursuant <br /> to thE lav,'s of the State c�f Nebraska. <br /> �Ai'PHOVED COMMEN75: - - <br /> L; APPROVP.L OF A PGRT30N <br /> --��••� �___ ..--••�------- •-_•-•-•.•••----- .��•••--••••-•. . <br /> C <br /> ����N��p�Wn NOV 2 9 Z011 �...��--�� <br /> .ignature t Co • r� rd 1�9emlier � � <br /> ��ae6raska Gepar;mant ut aev�nue GRAND lSLAND� •�tai.§77-2p2a� <br /> Sfi-135-1999 Fiev.7•�OYO 5upersadss 96-135-'999 Hev.71-20q9 <br /> PLEASE MAKE A COPY FORYOUR R�COF�bS <br />