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� 2012 <br /> r s� i��awirw Exer�nption Applicativn Fdi�r,� <br /> �� forTax Exemptian on Rea1 and Personal Property by Qualitying Organizatians �S� <br /> O SESSQFI Raad fnstructians nn reverse side. <br /> Failure to properly complete ar file this application in a timely manner&hali resul[in a disapprovat of the exemption. <br /> hame of�rgar,ization L'ounty Geun;�IVa. �ype of Ownership <br /> ST LEO'S CHURCFI OF GRAND ISLAND Hall 40 Q N����rotit GorNaratior, <br /> utreei or C3thsr 1�9aiiinr�Addrr�es 5tate 4Vhere frr,�rpr�raie[! � Otn�r(SpeciTy) <br /> 2410 5 BLAINE NEBRASKA <br /> C�� Stato i ip Cr�de Actual Val�e Pcrcel ot Lacatior,ID Nurri6er <br /> GRANIJ ISLAND NE 68801 12 750 070 <br /> Le�al descripiicn o:`real property and generai description o�ail tangible parsonal proparY�,except Ilcansed motor veh�des: <br /> MISC TRACTS 29-11-9 PT W 1/2 N.E 1/4 (CHIJRCH ANQ PARKING LO7)#�400148943 <br /> MISC TRACTS 20-19-9 P.7 E 1/4 SE 1/4 (PAR50NAGE) (2511 DEL MONTE) ;�40D146703 <br /> 7iFle of OHicers, <br /> Natrse Directors;ar Partners Address.City,5tate,Zip Cade <br /> �.._._..f-----•°� -_•-_•••-•••-•--- ---•_ •-�-••°-•..__�_.____�.,...._..�------------ -----_�...._�---•��._ <br /> �Bish�7 ���illiam Dendin er P�.es. P ox <br /> t�ev. ilce cDe - T —�--.. <br /> V,er REv. Charles or e e <br /> P�'c�ierty desniliad ahr�ve is usad L i the tc�llow;ing exerript r.a•teyot)�{��;e�se rriark the appfcak�l�bcxes): <br /> �Aarlcul[uraiiHcr:iculiural Sociaty" �Educa?ia+�al �Rekigio�a �Charitable �Cametery <br /> Giva a detai!ed dascription of the use of tha preperty: <br /> "�griculturalMurticultural Sooiety dnes noi need t�camplete the f�lluwing questions. <br /> �Is all oi the pran�tly used ext�usivaly as d�scrib�d sbova? �Y�.ri �NO <br /> Is a F�orCicx;nf ihe prcr}fs.���lsed iar itie sa�e nf alcnhuli+:beverayes7 �YCS �h10 N Yes,state the nurrihe�n?hnur4 per vdeek <br /> Is the proparty owned nr used by an organlzaiipn which�discrimlrates in <br /> membershi�or employment bused on race,cclpr,pr naticna!origin7 �Y=5 �' Pd0 <br /> Under penaltios cl layv,I daJare lhat f ha�e examined tliis exemption app;ication and,to the�est of my knowledga ard Celiet;it is corrc ct and <br /> r.omp�ete.I a;s��le�lare that 1 am culy autt:r,rized to si_r.n tlrs PsernriYinn applicatinn. <br /> S1t,�� � �`� � _ l�f��d%�� <br /> ��y�� Au:horizad Slgnature Title []ate <br /> --•_•-•._-�..---••_- ---.••W-.-..-•••••-•••••••••_�•---..-•••__._�_,_...._�..� ---------------- <br /> ��` FOR GdLINTY AS5ES5aR'S RECDMMENf?ATlON <br /> I X; ,APWROV.�1L COMMENTS: ��D��'"T-Y��O �_ <br /> 7�J — � - -__ ---- ---- - <br /> � <br /> L; A?PRC�VAL OF A POF1TlJN <br /> C I]1SAP?ROVAL �-" � `W 1�--- <br /> Sigr.a r Ceunty Assessor Date <br /> L------�----•-----°--•°------------�.•_--------.•.----- �-••-•-••••••••••••.•-- ----------------------------•_•__•••°-°•--°----._,.--. . <br /> �OR COUNTY BpA QF�Q4IALIZATIpN USE ONLY �----1�--^--� <br /> I dcs,lare that,to the pest af my knpw;ed�°and l�elief,the delerrrunaticn hsr�hy r,ade hy,he C.nunry F,oerd nf FyuafizaTion is r.crrPCt purouant <br /> io the lav�s of the Mtate of Nel�raska. <br /> �APPHR\/ED CQMMEN'TS: <br /> �; APPRflVAt OF A P��RT10N <br /> -�...•••••••--•• •-••-•_--_ �.-•_-- <br /> •••••-••••_••-•--••_-•...��•-°----------------------.•--•••-••-.•••••-._.......•-•------------- <br /> R� ,�� ._. i�I�� <br /> C DISAPPFtGV�L7 � <br /> ,i�7nature uf Gaur.y d ember Oa!e' <br /> la6raska Gspar;men�uf Rav�nue D r� .qythp�;z��by`deb.R�v.�tat.§77•e0z.0? <br /> ss-ias-�assra��.�-zo7os�Fer_adesss-ia5•ssssNEV.i7-zooe � � o ��;^ <br /> PLEASE IvIAKE A GOPY FQRYDUR fi�CORDS HAl� Cnuiurr tis��ssr�i�'� <br /> GRAND(SLAMD,N�BRASK�: <br />