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� 20� 2 <br /> o FIL�l7WITH E���pti�r� �ppli���i�� Ft��s�,� <br /> Ynup f�rTa�c Ex�m tian nn F€�a! and P�rsonai Pro �r �S ��� <br /> ou ASSESSO� � P fiy y Qualifyie�g Organiaa#ians <br /> �tead instructions on tevsrse side. <br /> i FaiE�re ta properly cortsp6ef�ar file this applicatian in a tim�ly mannmr shaii resulf in a disapprava{of t9tie�xempiian. <br /> ( 'sma of gar.itation phOn@' G'aunty Ccun".y No. Type of Ownership <br /> � COLLEG� PARK AT GRAND 15LAND Plonprofit Corparatior, <br /> 8 382— 93 Hali 40 AK❑ <br /> Stre�tt or Other:Viai�irig,4ddr�ss State Whzre Inc�rtior�?ap � other{Specilyj <br /> 104 N WHEELEFi-C/D MIK�JDHNSON, I�UEBS LAW FIRM NEBRASKA <br /> �.i�y Stato 7.ip Gode Ac[ual Val�e Parcel or�ocatior ID Num��r <br /> GRAND ISLAND NE �8801 37,236 400208083 <br /> Le�al desrylption o`real property and�enerai descripGon of afl tangi6le parsonzJ prppwrt�+,e�_cept licensed mntor veh�c;es: <br /> M15C TRACTS PT 5W 1/4 5W 1/4 29-11-8 (25.9p AC)-318p W HWY 30 <br /> (TAXABLE PORTION-#4D0336251) See Exhibit "A" for descrip�ion of real proper�y <br /> See Exhibit "B" for description of personal property <br /> T'itle af Officers, <br /> Name Direciors;ar Partnars Addr�ss;City,State,Zip Cnda <br /> ��� �XT"11�1�rrC�T •- �._. ...� <br /> P��epe;�y descri6zd abwe is usad in the foifowing exempi cate�ory(�;ea,e�rn�rk the applicable bexes�; <br /> �Agr,culturat/Hcr.ic�liural SocietV° �Educ3tlonal �Raligio��a �Gharit�h�l& �Cemeter� <br /> Gi��a s dafaLed descr;ption of ihe use of tha propsRy: <br /> Se� Exhibit "D" <br /> "Agri�Itur�lJFlorticuEtural SociaCy does noi naed tp camplete the fallowing quzstlons. <br /> Is all oT the prnpe�ty usad�xc�uslvely ss dssctibed abov�? nYtS ��0 ��e �Xr11�1'� ��E�� <br /> Is a partior.ot iha prcpa�ty usad fur tne saie o!elc:ohu!ic F�zveragesl �1 t5 �Nn IiYes,ste:e the nurciher n9 hours per week ��� ����-�1� ���'�� <br /> Is the propsrty owned ar used by an organization which discr!mir,ates in <br /> mambership or empl:,yrr,ent pGsed on race,coi�r,er nat�ona;origin7 �'Y�5 �ND <br /> Under penalties of law,I dadara that I have examined this exemption applicatiort and,to the t�est of my ia�owiedg:.ard beliei,it is correcC and <br /> r,omp;ete.I aso deulare t�zt I am duly a�athcrized ia sipn this exemtiliai applicaiinn. <br /> ��,'^''� 7 <br /> ���� � � �i--- Chair rsan ���-7 /� <br /> ���� Au;horiz�dSignature 7itla nate <br /> _�_.._ <br /> --- ----- --- - <br /> ATIQRi .__�� .�� <br /> .__ ASSES�t)R'S RECOMiNEP&B_ .,_._ ....,.._., ._ <br /> i APFR�V�L �biJh9ENT,^�: Z—�,� <br /> C'{ A?PA�VAL pF A PORTION <br /> ❑ CllSAP�ROVAL �4 1���` <br /> Si�r.ature ? cunty Assessor pate <br /> I �_•• ----- _ _._. -•-•._._ ---_..-•-••-_.•-�---,•-•._•--�_—� <br /> ..... FOR COt9MT`(HOAR Q��QUALtZATIQN tJSE .r1NLY <br /> I declare.tiiat,tu the Cest uf my�cnowledg=and Uel�ef,ifie de1errn;nai.cri}i=reby r,arJe by che Gnu»ty Eo;�rd��1 Fyuali�ation is tcrrPCt pursuant <br /> io,t;e lavs pf the S'kate af Nebrarka. <br /> � A?I'f10VES] GOMMENTS: <br /> � A?PRpVAI pF A Ppfi-fION ...___ . v �..W... ���^�m� <br /> � DISAPPFtOV;.I� <br /> Signat r af C, r[y ard em�t�r . <br /> Neh�aska Aepertment ut Rew_nue <br /> �6-13=7899 Rev.7-�010 Supersedes 96-735-1999 R�v.17-2008 Autho;iaed by tde6.Rav.5l-dt.§77-302.0 i <br /> DEC � 7 2011 <br /> PLEASE MAK�A COPY FQR YOUR RECt�RDS HALL Cal1NTY A55ESSpR <br /> GRANDISLAND,NEBRASKA <br />