Nevada Code § 450.040

Petition signed by at least 50 percent of taxpayers; submission of question at next primary or general election
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1. Whenever the board of county
commissioners of any county is presented with a petition signed by at least 50
percent of the taxpayers in the county or in each of a group of counties asking
that an annual tax be levied for the establishment and maintenance of a public
hospital, at a place in the county or counties named therein, and specifying
the maximum amount of money proposed to be expended in purchasing or building
the hospital, including the acquisition of a site, the board of county
commissioners shall forthwith comply with the provisions of NRS 350.011 to 350.0165 , inclusive, and shall submit the
proposal to issue bonds for the project to the county debt management
commission for each of the counties.
2. Upon the receipt of the approval
thereof of each such commission, each board of county commissioners shall
submit the question of issuing bonds for the hospital project designated in the
petition to the qualified electors of the county at the next primary or general
election, as provided in NRS 350.020 to 350.070 , inclusive.
3. If the petition designated in
subsection 1 indicates the hospital is to serve more than one county, each
county designated shall submit to the commission and to the qualified electors
of the county a bond question authorizing the issuance of the countys bonds
for the project in a maximum principal amount at least sufficient to defray the
countys proportional share of the maximum amount designated in the petition to
be expended for the project based upon the last assessed valuation of the
taxable property in the county and the valuation of that property in all the
counties designated in the petition.

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