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rn <br /> m IV �� � <br /> rnm � �y rn <br /> � <br /> o � �� � � zrn � rn <br /> � � �o rn , U] �Q � o <br /> � - oz � rn o�' � � <br /> � � <br /> � . � z� � � �z � — <br /> � �� � � _� � c�r� <br /> _ �� �..i..� �� � � <br /> , rn� rn � �� � � <br /> � <br /> �� � � C <br /> �� � � <br /> �� � rn <br /> . oo m� � � � <br /> o � <br /> 00 � Z <br /> . � � <br /> Healthcare R�gulat�ry U,S..Department�f Housing �MB App�ova!No.�5��-0��5 <br /> A�reement— � eratvr and Urban De�e�opment �exp.�31311���4} <br /> S��t�on 232 <br /> � �ffice af Res�d�n#ial <br /> Care Fac�i�t�es <br /> ,. Puhtic repnrting burden for this co�lection of info�mation is estimated t�average D.5�hours. This includes the time far cvllect�ng, - <br /> re�iewing, and reporting th��da�a. The informat�on is being cvllected �a obtain the suppartive dvcum�ntatian which mus# b� <br /> submitted to HUD for apprvval,and is necessary tv ensu�e#hat�iable projects are developed and maintained. The Department will <br /> use this informatian to determine if properties mee# HU❑ requirements with respect to de�elvpmen#T ap�ra#ian andlor asset <br /> management, as we�l as ensuring the continued ma�cetabil�ty of the properti�s. This agency may not callect fhis information, and <br /> yvu are not required ta complete this fvrm,unless it displays a currentry r►alid�MB control number. <br /> 1Narning:Any person who knowingly presents a false,fctitivus,or fraudu�ent sta�emen#or c�aim in a matter within the jurisdictivn of <br /> the U.S.[3epa�tment of Hausing and Urban Develapment is subje�t to crim�nal penal�ies,ci�if liabi�ity,and adrninistrative sanctions. <br /> Recording requested by: <br /> Matthew J. Porter, Esq. <br /> Varys, �ater, Seymour and Pease LLP <br /> 19�9 I� Stre�t I��, Suite 9D� � . <br /> �ashingtan, I]C 2���5 f . <br /> � After recording return ta: <br /> Ms. �ynthia�hapman <br /> V orys, S ater, S eymour and Pease LLP <br /> 3�1 East Fourth Street, Su�te 3 5�D <br /> �reat American T�wer <br /> Cincznnati, �H 452�2 � � <br /> Pro'ect Name: �rand Is�and B�ckfard Cotta e <br /> FHA Pro��ct No.: 1�3-ZZ�5G � <br /> , �.,.,..��,.,,�� <br /> Pro'ect Lo�ation: Grand Island Ha�I ��un Nebraska <br /> Lender: Ke Bank�Tationa�Assoc�ation � <br /> �r� inal Princi al Amount of N�te: $4 538 GU�.�� Dat� af N�te: as of Se tembQr 1 �U14 <br /> �ri xnal� endorsed for insurance under Secti�n 232 ursuant to Section 2�3 <br /> , <br /> Prev�ous�ersions obsole�e Page 1 v�'I G #orm HUD-924��A-�RCF�Re�. �8113} <br /> Replaces H lJD-9�46�-N H L <br />