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Zo� 2 <br /> ros i���wiTH EK�iTi��l01'1 ��p�lC�f1�1C� Ft��3�E <br /> vouq }��7ax Exemptian or� Real and Personal Property by Qualifyirrg Organiaati��s j <br /> COUhI7Y ASSESSQR Read instructions an tevcrse alde. �� H <br /> Faiiure ta properly cqmplete or fi{e this application in a Yimely mannar shalE res�li in a disapprnv2!of the axemption. <br /> ;�ame of pr�ar,lzation rQy�nry Counry fVa. '�ype•�f OvmErsh:p <br /> 5T PAULS LUTHERAN CHURCH-GRAND ISLAND Hall 40 � P�r'nprotit Corpnratior, <br /> Staie`�lSiare frcor x�r�ied pthar{Specity) <br /> SUeet ar OtFi=r:Viai!in�AddrQes 1 <br /> 1515 S HARRI50N N�BRASKA <br /> ��ty Stato :ip Gode Actualb'ab�e Percel or Lncatior Ip Numbar <br /> GRAND ISLAND NE 68803 3,D55,015 4D0147181 <br /> Legal descripticn o`real property and aenerai desc;iptian cd all tangi6le personal proparty,excepY Ilcensed motar veh:�;es: <br /> MISC 7RACT5 21-�11-9 P7 SE 1!4 SW 1/4 (6 ACRES) <br /> Title af�tticers, <br /> - ---------°------- - � - ' -- - -- �ss.Gity,State,Zlp Cade <br /> �j �.•_-- • - •- - Name Directors_ar_Partners Ad ------•-----------••�� •••-•_...�------------------._------.�..--•--------- <br /> '"Cl1 �. '�� .���/L� �tr f� 6�— - ---- �,--- <br /> ' r�� <br /> E --- _--. - -----.��.------ --- --- ----------- ------ -- -- --S�-- f �-----_-_ .�-------------�--------------- <br /> �,. ��-�__�'� --- �--� <br /> '" Pit:�18:YY CL'5CI'IllBC�8FlUV8 I5 liFBL�I!I III�.fU��OW9t'I�'P.XH.•(I�hI 6EitE�4fy;(�iease r yrk the applicak�la hexes�: <br /> �A�r:cultura!Moriicultural Society" � �ducationaf �Religiou� �Charita�le �Gemetsry <br /> Giva a detailed descr�ption oi ihe use of tha property: <br /> j,{�b,�S� �� �- �� <br /> "Agricultural/Hurticuftural Spciety dnes noi naed to complete ihe following questions. <br /> 's all 01:he praperty used exc�u5ively as dssctihed apo��? �YkS �ND <br /> Is a��orUor.ni tFie prope,"ty us�d ior ihe sdle o!zlcohuiic beverayes? �YwS ''�Nq Ii Yes,s1aiP the nurnber n!hnurs per vreek <br /> Is the praperty awned ot used by an organizaiion which discrimirates in <br /> merr�ership or empL�,yment pased on race,cclor,ei naticna origin7 �Y�S �fd0 <br /> iJnder penalties cf Iaw,I dadare that I have examined Uiis ey;Emptian appiication and,to the best of my:tnowicdga ard beliet;it is corrGCt and <br /> r.�m�.iiEte.I a;so declare that I ar»duly ' • rize in si_r,n tiiis exernt�tinn applicetir��. <br /> 5��� ! ��'-' �tu,�.rc�.�u.l �}s" /�•�S-/I <br /> �e�r� :hor¢�dSignature Titl�, � date <br /> � w�_ , ._ . <br /> L/���,Q-------- <br /> _�_..••-•_••-••��... _.-••_��•- -°-_ ��.W_._--__------- - -- -�...._�__.�_..W..�_..._�__.�-_•_-•_-•-•••� <br /> FOR COUNTY A55ESSOR'S AECOioiMEN�ATiON <br /> ��. ___ - _-- — <br /> �P.PPRCVAI CDMMI�lJTS: �����"']^���� <br /> Li A?PR�VAL OF A PORTi[7N <br /> C d�5�p�ap�A� _l-1,q�-� l� <br /> Sigr.at re i Ceunty Assassor Datw_ <br /> --------••-•_-•_.�.---°---•_•••.._---------•••.�___, •- - -------------------------------..-•-•-•••------�--•••••-••••---.••-••••••-.••-•....---•°-----------,--••----•-------------------------------I <br /> I--- <br /> F'�q C(yUNT`l 9d p A��QLIALIZATIQN USE pNLY <br /> I t�eciare ihat,tr�t!'ie hest of my kn�iw�erJy°and belief,ihc�dyter�ninaiicn here6y r,adH by cf�e Coiinry Board rrl Fquniiz�tion is r.errer.i puruant <br /> tn the laws ot Yhe wtate of Nehtaska. <br /> �A;'PHOVEI� COMMENT5: <br /> � A?PROVP.L(7F A PJFiT10N <br /> C L?ISAPPHGV�D � J�� l`�. <br /> Signature ut L"aur r� • A�1amliar . <br /> ahraska CJttpar:ment ul Rev�nu6 .4uthvrn�zed 6y!�B6o py,.s'.tel.§7>-tOZ.Q? <br /> ,6-73=•7999%iee•.'7-e�YO Suporsedes 96•135•�999 Nev.11-2000 n��� /, � [, 11 <br /> V r <br /> PLEASE MAKE A COPY FC7R YOUR FIECC)RD5 �A�,�, CQUN°�Y AS5�S��R <br /> ���Np���p�q,NEBRASKA <br />