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� <br /> 20� 2 <br /> � LEL7 WI7H Ex�mption Appli�ati�►n �o�� <br /> vo torTax Ex�mptian on Re�l and F'ersonal Property hy Qualitying Organizations /� <br /> C N7Y SESSQR Ftead instructians nn reverse alde. '7'�� <br /> � FatEure to psroperly complete ar fl{e this application in a timely mann�r&hali res�lt in a tlisapprovat of the exemptian. <br /> Name of Orgar,ization County Ceun;,r fvo. 'fype of Owr:ership <br /> GI�AND ISLAND AREA CLEAN COMMl1NITY SYSTEM f-{a�� �� � �7onprotit Gorparatior <br /> Streei or OtYier h9ai;i�i�Arldre55 5tate.Nhzre Ircnr��f�raied � Ll1h�r(Specityl <br /> 366'I SKY PARK RD#2B NEBRASKA <br /> Gity Stato 7_ip Cnde Ac[ual Value P�rcel or Locati�r,ID Numher <br /> GRAND 15LAND NE 68801 N/A N/A <br /> Legal descrlp4!en o:`raal property and generai description�1 all langible personal praperty,axcept liuensed motor vehicies: <br /> PERSQNALPROPERTY <br /> Title af Otlicers, <br /> �3a;:�c Direc�ars.o�r�artners ---- Aadress;�ity,Sia ,Zip Gode �j ti <br /> �_�. _�_��- - --__.. .�.-----------�----------- -----_ -�-__ -r.__— — -- ----- - - }—�--------------- -- -- - ------------� <br /> � u _� �-�---lr,eR�r .�StA=aT�--------����°a1_ <br /> � R S /.��s C <br /> . • <br /> - �. . R� s r R 8�.3 <br /> — �------�� —���_--•••�-r�f --._--• LR-G �•.�� •�.•=•.•-r•--r-���f-1_£---•--11�-�-`-� ------ - � �`� <br /> _ � Y�---- �-R��..�� --�d �---��'�oc <br /> D <br /> Preparfij descr' ad ahr��a is usad iri the fUllowirip exerript categury(��i sE rnark the ap�licaW=6exes): <br /> �.4�YiCUltuleu1�lCf.iCUliuYal Society' �Educa*.ional �ReEigiou� �CharRable �Cemeter� <br /> Cyiva a datai?ed dsscr�ption of tha use of the propar'ty: �d �� �f q,p � ..w- D /1 <br /> �y�.�,��. 4 ���� � . ��``.� <br /> �� <br /> `�'�' �r.�' w.�.� ��.�.'��>, �, - �;��'e`e`"7/� <br /> � � <br /> � <br /> "AgriculturalMurticu turaE Sociaty does not need to complet the fullu ing questions. <br /> ,Ic all ol[hF prpp�!ty usad exc�usively as described abova? �YCu �NO <br /> Is�riartinn af the prnpeny used rot ltie sai�ot elcnPioiic k�eve;agc�s4 �Y�S �NO If Yes,sta?r,the nvrriY�er of hrxirs per week N �� <br /> Is tha proparty own�d or used by an organization which dis,cr:mir,ates in <br /> membership or employment besed on race,cclor,er nat;cna!prig;n? �Y�S �P4d <br /> Under penafties cf Iaw,1 dndare that I have examined tlii�examption app;ication and,ta the best of my icno edga ard balief;it is correct and <br /> r.omp;ste.I a;so declare that I a+n c;uly authcrized t.sirn th;s exernriti«n ap(ilication. <br /> C�� � - o� <br /> ���� � � .�.� la_ �' „ <br /> �Ej�r� Au;horiz�d Signat e Title �ate <br /> _����-•••••-.�-_ - - ---------------_-•-.•-•--•••-.--•----••--------------------•------•--•-------------------------------------------------------------------------------------------- I <br /> FOR C6UNTY ASSESSOR'S RECOMf�AEPlDATlON <br /> � — --- — <br /> � AaPROV.��L COM�v1EtJT.i: �O �.r�n Ll� L 1��.._. �. <br /> L; APPROVAL OF A P�RTION <br /> ❑ �ISAPFROVAL �'����`� <br /> Si�r.ature ' eunty Assessor bate <br /> ----------- ---_-._-_•-••-..•_-.----------._�....._----- -- -- - -- ------�-••-•�-•---°_•---.••�-••�•--��•--•••••••--•••••_------•-----••-.-•--••••••----•-------•---------- <br /> FOR Cqt1N7Y BpAR F EQUALtZATiRN USE qNLY <br /> I derJare tliat,[r�the,k�es:l Uf my scnnwierJg=and belir�f,the dererm:nat�un hPrehy r,ade hy.he Cnunty Board ol Fr�uaii-r.aiion is::errect Nursuant <br /> to;he lav s of the State of Nebtaska. <br /> �A�'PHQVEI7 COMMEPITS: <br /> --• <br /> L; A?PRQVAL{JF A PGATION <br /> ._•_-•-•-• --�•_••••--__--•• ••••••••••••--•••--°--..__ ..__. � •_•••••_•.••--•-• � <br /> ----��''1..-�,.r��i ,--------------- <br /> � ���' /—�/—J <br /> C �isA�p�xov�o �'�.:-,. ` � 1 <br /> .igr�ature of ou � rd h1 ber pa:e <br /> !ebr�ska Pspartmant ur Rev_nua � � �°��hb��d by'da6.Fe"v;StaP.§77-�,02.0' <br /> .6-13�-1999 HeY.7-=0'Ip 3Uper�ades 96•735-1999 Rev.11-?Otl9 L U <br /> PLEASE MAK�A COPY FORYOUR RECDRD�A��- CG�t�`v�4' E���;;_°'';^��i <br /> R�It�l��Ftitii%, di�Ct-e,w,�,�ti1 <br />