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�� �hone� L/D�— ��1�-a7o7 2012 ro e�Fi �r� E�c�mptivn Applicatiar� �o�� Y A to l°ax Exemption cn Real and Persanal Prrperty by Quali#ying Organizatians ��-� CdU�iTY E 5QR Read instructivns an revcrse aide. � FaiEure to preperly cnmplete ar fite this application in a timely manner&hall result in a disapprpval bf the axemptian. �vame of�r+�ari�ation G'ounty Ceuny fJo. Type nf Or�r:ership ST ANN'S CATHOLIC CHIJRCH H�II 40 � P�anprotitGarporatior Street or OCher�Aai:inn Address Statc lNhere Inr,�rpnri4Pd � biher�Specityl PO BOX 407 NEBRASKA �.��, Stato 7.ip Gqde Actual V�lue Parce3 or Laca[i�r ID MumY�er DONIPHAN NE 68832 928,430 Legal descripiion p'raal property and aene;ai description^f all tangible p-rsonal proparty,except Iicsnsed matpr veh;c;es: DAN HERR ADDITI�N TO 7HE VILLAGE OF DONIPHAN PT SW 114 SW 1/4 5-9-9 (202 N 5TH)#400183463 GIbEON AD[]ITION bOIhIPHAN VILLAG� LT 2 BLK 3#4D01$3722 7itle af nYFicers, hiarrie Direckars.ar Partners Address;C�ty,State,Zip God� •••-T-----°----------•-•••..T---- ` - - ------°.•••_ .- �••.r -••••-------------- _•-�- - �--�•.�----------- - --- �.�_ , ••-, I�abia �3r� � w��z ��-rs� d�+- I3� � Z�----�a�S L:,n.c ol .$D n1ts�"h T�db�Tn r p�Cs��[ti�' b U � �S �incc�n' �� .r-J�'I ar I�lv�lo-e�' S c re. C3� x �SU3 Ff l.-r`n .v n F �..�bi �n�:re�.J__�_.I.'Cu��------f�t�-�-`-"--=�--�---------- -------�k-�p�------- 6.,..!�-�-----�`-'--�-------�r=-----�.��_��--------�--..�.��__. Pt'epert�j eESCiti�d eY�r�v�is�iszci in the tollnwin�e.x�:�npt cste�r�ry fp:ease rciyrk the appl:cak�P hoxes): �A�ricultural/Hcr:icultural Soc�ehj° � Educational sEigiqu� �GharitaGle �Cemetery Giv�a detai!5d dascription of ihe use af tha praPr"'C.1t �[%�S L d U c^R��b+'' C"C �� T"�`�l�� VY12 eT�n,Gj rj a?' Y✓l�J'� ,5 tl-'wU�'l£Y1,5 ��e�tCf)GU S C'�+r�mbr��PS� ,9 �, � v �r��Ps, ^,�gricufturalMarticultural Sc�cizty does not need to campiete the foliowing questions. ±s all oi the praparty usad exc!u�ively as described abova7 �ES �NO it�p:�rtior.uf tt,e prcpe!t��ased ior The sa�e of alenhu:ic b�verages7 �Y�S '�!0 N�P.S�staia,tha nurnbr.r o!hours per week ls the property owned or used by an organi;.aiion which:discrimlrates in �--�,� mertbership or Qmpk�yrrent basEd on race,oclor,or nat;cnaf ori�in? �Y�5 �'�u Under penalties ci law,I de�lare that I have examined thi�czamption app:ication and,to the Gest oF my:tnowiedge ar,d Eeliet,it is canect and r,amp�ete.I aisa de.clars that 1 ar��duly authcrized ta sipn tiiis exerry�tinn application. � ��, �� - � - � - 1� .��g� �- ��y�r� �au:nAr�=g�Signature Title DaFe _�--°°----------•-_•-----_�-••_--°-•••-•----.•-•-•�------�.__._.�...------•---•---- ---••••..._��--- -•-••••••••---- --�---�••-••_�-•-•------��.��--�•--••-� FqR CCtIlMTY ASSESSOR'S RECOMM1AENDATiON �A;'PHpV.�aL GONhiEtJTS: _��-'.y��n—-x-��-l�1�(�1I_ f `"��, --- - ' 1 �j A?PRb�JAL OF A PORTI��N ❑ nis��ROV,a� `�" ��-- 1�— Si:anatur b! eunty Assassnr ��t� •- - •-•_•-----•---••------_•--•••----------••••. -----�-•_.. •-•-••••••• •_----• .�.••••--•.-•.•--------------�----•••••--••-•---�------ -----�_••-�-_--��.-•-.----------• ------ �QR CRtINTY�aAR OF EQLlALIZATIpN US�C]N�Y I deelare that,ta thie Fast o'I my knr�wiedy�and beliet,the detsrrninaUCn h°re6y r,arJe by:he Goiuiry Eoard r�f Fyua(i�ation is�crrPC1{�ursuant to the Izbve of the State af Nebraska. � APPROVEIJ CDMMENT5: T LjA?PRQVP.L L)F A PbATION ...°---- ---••-•••_•-•F-- -----_•--•._---------�•-••-•••-�- --------------.•••-..-----------_•--••••••••••-•-�---------------��.-•-•••••�--• ❑ t�is�w�HOV�� o� . � ..�/—�I/2 Sigr�alury uf Coca• � .fJ\.1 li�ar C7d!e 'e6ruska U�par;mant ut�gvenue t z+�,1 6y•/,�Jetr�F�u��tdt.§77•i02.0i j6-735-1999 Rev.7-?010 Supersede5 96-135-1999 Hav.71-2099 ��11 V 1w �"�� PLEAS�MAKE A COPY FOR YDUR RECORDS �(��,� CO�JY�(`�� 5�� GRA�!�€SLE+I�D,t�E�RASKA