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Petition for Public Amusement <br /> Renewal FOR PUBLIC AMUSEMENT LICENSE <br /> TO THE COUNTY BOARD OF HALL COUNTY, STATE OF NEBRASKA <br /> • Now comes PILOT TRAVEL CENTER #912 LLC <br /> Of ATTN: TAX DEPT. P.O. BOX 10146 KNOXVILLE, TN 37939 Petitioner, <br /> (Give Postal Address) <br /> And respectfully petitions that THEn be granted a license to conduct a public <br /> ROAD HOUSE <br /> (State whether Road House,Dance Hall,Carnival,Show,Amusement Park or other public amusement) <br /> According to the provisions of the Revised Statutes of the State of Nebraska,from the 1ST day <br /> of JANUARY 2019 to me 313T day of DECEMBER 2019 inclusive. <br /> Said amusement to be located outside of the limits of any incorporated City or Village in said <br /> County,State of Nebraska. <br /> Your petitioner desires to conduct the public amusement designated above at the location herein <br /> after described in said County,State of Nebraska: <br /> 11775 S. HWY 11 WOOD RIVER, NE 68883 <br /> (Give exact location where amusement is to be located) <br /> Dated this day of <br /> State of Nebraska} <br /> Trucsstt } ss <br /> County of Hall } <br /> {Coax, <br /> Q Y <br /> \ btan C(7x.LVVORJ2 being first duly sworn,says that tratTruub(Ceetk Qh <br /> 412 <br /> the petitioner in the foregoing petition,that?ancuo((',En'llsubscribed the same,and knows the <br /> contents thereof,and that the facts therein stated are true as PtlOPTr(WE( verily believes. <br /> Signed in my presence and sworn to before me this /9 vw day of /40V A.D., 2o(F. <br /> • <br /> atzc <br /> Offic Administering Oath. <br /> IJOL1!Ube <br /> / Title <br /> My Commission Expires October 2,2021 <br /> The County Board of Hall County hereby directs the County Clerk to publish notice of this <br /> petition.at the expense of the petitioner,for two consecutive weeks in a legal newspaper of <br /> general circulation in said county and precinct,and that said petition will be considered by the <br /> Board on the day of , at o'clock M., <br /> And that after full consideration and hearing of remonstrants,if there be any,the Board will use <br /> its discretion of granting or withholding said license. <br /> County Boar <br /> Dated /..2/ X J D <br /> , <br /> Ch an <br />