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��- 2012 <br /> F����W�T�+ Exemp#ian Ap�plica�ion �oRr� <br /> °�q torTax Exemptian on Rea! and persanal Property by Qualifying c7rganizati�ns G <br /> GaUN �,SSESSQFi Read instructinns an reverse side. �a7� <br /> Faiture to prnperly tarnpleta ar file 3his application in a timely mannsr shall resuit in a disapproval of Yhe sxemption. <br /> ha e of garization County Geunry fV�. �ype of OWnefsh!p <br /> RAND ISLAND LIED�RKRAN� Hall 40 Q P�'�Profit GorGaratior <br /> SGeet nr pthi=r A,1ai:inr�Addrs=s State Whzre Ircort�r�r;�:ed <br /> p1nFr(Specityl <br /> P� BOX 325 401 W 1ST 5� NEBRASKA <br /> �jtY Stato r'_ip Go^1a Actual1.�31ue Parcei or Locatior ID Number <br /> GRAN� 15LAND NE 68802 151,222 400467186 <br /> Lsgal description o'reai property and generai description�f all t�ngiWe pRrsonal proparty,except licensed motor veh cies: <br /> ORIGINAL TOWN PT LOTS 1-2-3-4 BLK 87 <br /> (TAXABLE PORTION -�400007223) <br /> Title af Qtticers, <br /> Name Directors;or Partners pddress.City,State,Zip Gade <br /> --�-------°�.•-_.--•-•_-- ------�••=•,�.__ --°�•••�_ ___•••••-•••-._......_ -----------------°°.__..--°-•-.._-------------------------•-•--•.••---•�- <br /> r� � �S� R.-w' o� � t,� . /� �� l�h 8 C� <br /> � � .S1 . �o I 1 � J Ci.n/�0.. �l n S-t �' ���(� <br /> F7 a� I Gs er- _C . !^ I r i d i . n �' � b��7C� <br /> , - - <br /> n-i�._�.���.�����.� �1�1cI�..tiG�O�I__�°S.�.C.._.. __�!��� ;���1-�-�•------ -r�--�-�—l�Q�-1---------_�..-------.._�_�_. <br /> Prep�rty cesct'i'ved abr��e is iiaed iri th�Tdlo�n;irig exerript r.ateyory(�iie.ase rriyrk the applica6l.:hC%Y.5J: <br /> �A,gricultural;Wcr.iculiural Soc�ety" � Educa?iorial �Religious �Charitable �Ce�netar� <br /> Giva a datailed descr�ption of th�use of ihe prope;ty: <br /> So���1 Ciwb de�;caFed �-o �reservin� �rn.,d �s)�..d 's �,,.n,, c��„c� l se�-Fle.-S <br /> p�'�SC rV 1 n S � !'��-,}i b I�C.1 �i 5"�O�^i L. .�i�e, _ a ` <br /> 52� Rt� f�cG-ad /��fi -�'ir d`I-k4-� 0.G`Li✓�`!'�Cs � <br /> ",AgricufturaiMurtiwttural Society does not need to complete the f:sllowing questions. <br /> Is all 01 the prnperty usad exc?usively as desctibed above? �Yt� �ND <br /> Is 5 partinr.nf liie ptc�ye!'ty used iur The sale of zicohoiic beverag�s7 �YtiS ❑Np I}YP.F,51r7�P.tY1B�li � <br /> Is the proparty owned or used F�y an organlzation which discrimirates in <br /> mEmCership or empl�_�9ment Gased on racE,cclpr,pi naticn3:orig;n7 �YWS �NO <br /> Under panalties ct I��.v,I daciare ihat I have examined tlii,exemption appiication and,to the bast oF,.,y�cnawiedga ard qeliei,it is correct and <br /> cnm��;ete.I a•so declare tha.t I arn duly autl;nrized to s!_r,n this exernption appli�.atin�. <br /> 51 g 1� X J�ifi�- ��r_.._�J - ---- -1-i��G,c1 C�h,� rSi',C���'w /�, " c�'�C� 11 <br /> h <br /> �'�AuyJiorizad 5ignature 7itle Date <br /> he�� pho.�e: 3G�'.3��-Q337 <br /> - - ---------�---------- --------_-__._ �.�.�___..---'-------.._----------- -----------------------------�-------------------� <br /> FflR GOUNTY ASSESSOR'S REGOMMENpAT10td <br /> I --- - <br /> � Ai'PROV.AL CDiviviciJTS' _ ��L� ��� <br /> �A?PROVAL OF A POR73C�M <br /> C pI5A1'?ROVAl� <br /> Si�nature ' ounty Assessor datw <br /> - - – ° -°----- .__ •-• -�••�•--••••-•-•-••-••--°--•-----------------------------•°°-°°•.-••-•--•---------- <br /> �___°--°--------._•••••--- —_–._ --_------- �QR CDUN"1'Y BOAR F EQLIALtZATIQh USE qNLY <br /> !d�sciare tliat,[cr the:k�est of my knowledg�and helief,ihe determinat�nn herehy rrade by the Cnu»ty E�ard nf Fqu�aiiz.hlian is�erreci pursuant <br /> to ihe laws of Yhe.�.'tate ot Nebraska_ <br /> C A;'PROVEl7 C�MMEN"f5: <br /> �APPR(3VAL()F A PC)RTIQN --_-°••••-�••--- <br /> C DISAWPHGV�p /�� /� <br /> .iyr�ah�re ut Count u �d�,amiier <br /> Vahragka Uapnr:men{uf a�enue Autharized hy!dDe6.Flev.wtat.§77•202.0� <br /> ;6-73�•7989 HeY'.'7-2010 Supersedes 96•735-�999 Ntiv.17-2008 � (��� � 9 nEC'D <br /> 4J <br /> FLEASE MAK�A COPY FOR YDllf�RECCIRDS H��� �(���j���' ��SESSOI� <br /> GRANa ISLAND,NEB�iASKA <br />