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, 2012
<br /> ��� �� �p W K E��mp►tion Appli��tit�r� �o�M
<br /> Y� � #orTax Exemption an I��al ar�d Personal Praperty by Qualitying Or�anizatians ���
<br /> �Q �� �p Read instructions an tevarse side.
<br /> � ikure ta properly complete ar ff{e this application in a Fimaly manner shall resul#irr a disapprqvaE ef the exemption.
<br /> tiame�f 4rqarization ,( S Goun?y Guun'.^�IVo. -fype of Ownarship
<br /> GRAN❑ ISLAND KENNEL CLUB �� Hall �p � MonprcfitCorp�ratior
<br /> State'Nhare tr;r,or�nraied � C�tner(Specilyl
<br /> Stseei pr ptli=r 1�9aiiin�ArJdrees 3��qa z��� (
<br /> PO BOX 275/2860 B15MARK RD NEBRASKA
<br /> City Stato 7_ip Code Acival Value PGrcel or Locatior,ID Num�er
<br /> GRAND ISLAND NE 68802 107,626 4002p6765
<br /> Lagal descriptcn o`:raal aroperty and ganera'dascriptian at all tangible p�rsonal propert�,except licensed motor veh:ces:
<br /> MISC TRACTS 14-11-9 PT LT A MLD 5W 1/4 5'� 1/4 15.22 AC
<br /> Ti41e at Ofiicers,
<br /> Narrie Directors;or Partners Address.City,Sta4e,Zip Cads
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<br /> Pt'eper desd'ibad�bnve is usad i!i the follnwinp exe!npt ca.eyo�y(�iiease rn�rk the appli�:aF�l°bexesj: ��,Fcryc_ Pj,_,�,�� - �l�"1�N �"�+-'7�',Grs.,.�Z�.S�cn.�,�
<br /> ,�,g G.r�l'•.�o Ri�.,ett�.,��r.g�.,rc+ 3�1. b�133.
<br /> �Agriculturai/HCriicult�Yal SoGBh/' � Educa±io�ial �Fleligio��� I XIG�haritabla �Gametary 13��^n•.c«�
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<br /> Gi�d�i!e�{sc�_r�Gtion�?he use of.ih�prepe�tcy�. � �r��
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<br /> ',�grlculturalMurticultural Society dr�es not need to complete the following quastions.
<br /> !r all oi the prap°r[y usad exGUSively as destribed abova? �YES �NO
<br /> Is ra partlar of tFia pra�re!�ty�used rur t3 is sa�e nf alcohn;ic beverages7 Y;.S �!q IiYes,state the�iurnhe�n.<hours per x�eek
<br /> is the proparty owned or used by an organlzatlon which discriminates in
<br /> memCership or empla��ment based on�aae,colnr,er naticna!origin? �YES NO
<br /> Under penaltios of 13tiv,I declare tfiat f ha��examined this axamplioit app;icatipn and,io the t,est of my knawiedga ard Geliet,it is correct and
<br /> r.cimp�ete.I a;so daclHre t�at I arn ciuly auth;r,rize.d ia sign th�s exern��tian application.
<br /> sign � � ���� S�c�-_ 1��3°��1- -
<br /> �g��� Authoriz�d5lgnaYure ���Y3��`j�"Z�[�Z T;tle Daie
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<br /> FOR Cal7tdTY A55ESSOR'S RECOMMEtdDRTiDN
<br /> �A°PRqV�aL CDMA4EfJ75: � Cy� ��� -
<br /> � A?PRCJVAL DF A P(]RTlOM
<br /> ❑ DISAP?RaVAL 1` 1�"��
<br /> Signatu unty Assessor l7ate
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<br /> FOR COUNTY�OA OF�Ql1Al.lZATION USE QNLY
<br /> 1 decl�rc lliat,In 1^ie heat of my knuwiedgs and beliPf,iiie deterrriinaticn hsrsh�r,;�de hy:he Gnii�ity Board r�1 Fyunli•r.�linn is enrrect pursuant�
<br /> to the lav:s of the SYate ef Nebtaska.
<br /> �Ai'PFiQVE❑ COMYI�NTS:
<br /> � A?PR(]VP.L C]F A Pf7RTION
<br /> CDISAPPHGV�D �` i pt �+ '�-41 '' --� I'Ic�
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<br /> nsr,ure af Court Buar� em r � �':i'�,.:,�.c,'y.fr:,,�[�±e" � ..-,�
<br /> le6ryslta bepur:mont ut Revsnue .4utho;izqd hy Neb.Fav.�tat.§77�F02.0%
<br /> J6-135-1999:1eV.7-?�1�Supersede5 96-135-%999 Rev.11-?D00 `�� � O �D��
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<br /> PLEASE MAKE A GQPY FDRYDUR R�CORDS ��+L� �:���„`�"f, �Jy,����v��
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