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��-� 2012 <br /> Tc]BE FILEp WITH ���mption Applicati�r� ���� <br /> �q forTax�x�mption on Real and Persanal Property by Qualitying �rgania�tidr�s A .y <br /> N �S���p� Ftead instructions an reverse side_ '`'9'� 1 <br /> �� Faliure tv properly complete or fi{e this applitation in a timely rrrann�r shall resuit in a disappravaE bt the ex�mptian. <br /> e o rg r,ization Gounty Cauny f�a. -lype��f Ovrr:ership <br /> PE H RBOR, INC Hall 4D � ��Qnprotit CorGGratior <br /> ��trN r pttisr: ai;iny�Addrees Slate'Nhar�Irr,7rr�arti:et! � �iher(Specilyl <br /> 61 W DIVISIaN NEBRASKA <br /> �,�ty Stata 7ip Gnde Actual V�lue Parce!or Locatior ID Mumher <br /> GRAND (SLAND NE 68801 757,102 4000007207 <br /> Le�al descript;en o`:rsal property and generai description ot ail tangible personal p!opart�,excspt licensed motor veh�cies: <br /> ORIGINAL TOWN 70 THE CITY�F GRAND ISLAND , LTS 5,6,7,8, BLK 85 <br /> TiFle af Qtficers, <br /> Name Directors;or Partners Address;Cihy,State,Zip Cvde <br /> _�_��•-•�.--_--- -__..W�_-•--••-•-�----_•�_-----•--•---_-.••-•_••,-.._...�.�_,_.__...••••--•-•-_•.-.-_�---- ----_._T.---- - -- ------•-----•-••--•�••-- <br /> � � D . � . c ;�z n�r 1�� W D�v�'s�1r� .� 151a .d�--�Il/'c la��'0 � <br /> G",I l� I*3�nu ��fe ; �n-,i <br /> J i� � �k�;% Vi(,�. e '�;� <br /> ���1_�._�:''_!:_�_!� _...---- •-v=CY��tt�'-- --------------- ---_..._._��---_._..T.,_..._ <br /> -------------------------------------- <br /> r�. �1 i�* ��1/i� �� � <br /> Prepe;m�desr.rii�ed bh�ive is usad in the follnwin�exernpt cate�f�ry(fi�ieasE rnHrk the applitabl=bexes): <br /> �A�r!culturair'Horiiculiural Society' � Educational �Religi�ue �Charit3bla �Gemetery <br /> Giva a datai!ed dascr�ption of tha use ot the prepe�ty: <br /> l��v�i`�.�i1:'�G�l �E_n'�� . �-bm�--�.P/1'� .�.e.�'�-f".. <br /> 'AgriculturaUHurticuftural 5uciety does noY need tp cnmplete the f�llowing questions. <br /> �.�ali oi the prap°rty used axciusively a�descri6�d abova? �YES �NO <br /> is H�iortioh of ifie prc(�rrty u;ed tur thr�aaie rA elcohoiic heve;ayes7 �Y�S �NO N Yes,sta?e the nurrih�er u:`hours per week <br /> Is the property own�d or used by an organization which:discr:mir,ates in <br /> membesship or empl�_yment based on race,aclor,or naticna!oriq;n7 �Y�S ��JO <br /> Under penalties of laav,I declare lhat I have examined this cxamption appiication and,to the 6est of my know!edg�ar,d belief,it is correct and <br /> r:nm��iete.I aiso declaTe that I am cUly auth;crize.d to sign th;s exernr�tfon ap�lic.afion. <br /> SIL��'i - `� // <br /> ���v� �Au:ho ad Signature �f;tle Date <br /> � <br /> -_•••--••-�� _�W.._.-•_--•_.••-------- --•-••------•••••••••-••-.•----•---•------------�•�-�---_.___�—_._.-------- ------ <br /> �"._ Fn�caurr�v AssESSOR°s��con�n�er�nArioru � <br /> �A�Naov.�a� CPMME�JTS: ��n�..� �Z—���. __..�..... <br /> I <br /> L; A?PAOVAL OF A POR7IQN <br /> ❑ DISAP?RbVAE. ����-��—�- _ ���� <br /> . <br /> 5i�naiure ouniy Asseasor pate <br /> ---------°---------__°------°••--- <br /> -•.-••••_°--°-•------------------------------°--- - •.....---------------------------------------------------------------------------------------•---...._.••--•-�_.��....I <br /> FQR COUNTY 90A OF EQ43dLIZATIQtd E�S�ONLY <br /> I derkare tSiat,[o the�ast ui my kn�iwiedgs and belief,ihe detPrrninalicn tierehy r;ade by.he Cuur�ty Woard nf Equafiza9inn is cerrec:i pursuant <br /> to�he lav;s oP the wtate of Ne6raska. <br /> I�C AF'PFIQVEb COMMEPITS: <br /> / j <br /> C APPROVAI.(7F A PORTIC7N <br /> ------°•-•__-_-• ••_._... ,�-••-._-•�_..�.._.._• •--_•_------•---.�...�._.�.�__.�...�.---------°-°-• <br /> ---------------- <br /> C DISAWPHGV�Q t5�� ��f� <br /> Sigrieture ui Ga arr . ember Cla!e <br /> ?6ruska papar;rnent ut�tl�r°_nus 4ut w:7�d�hfFtev.&1at.§77•202.0 i� <br /> u• /+ <br /> �3-133-1999Reu7-_01PSuporsedes96-135-�999Rtiv.11-3DOB � ��1 j� U <br /> 4 <br /> PLEAS�MAK�A COPY FOR YOUR RECORbS ���� COU��Y �������� <br /> GRAND ISiANp,NEBRASICA. <br />