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NOTARY FOR STRUCTURE OWNER <br />ACKNOWLEGED BY: <br />Structure Owner -�/ Name 1. I\ (e i <br />Date I <br />Title C re bC1C <br />STATE OFC6( 0,..0(-6) <br />C .0 `-6) <br />,� A ss. <br />COUNTY OF YI'�W ) <br />The foregoing was acknowledged before me this Z� day of `" , 20 , by <br />( ,�' 1�5 -6 as C. L! v 0C. -C- of I.)l.-6 <br />Notary Public <br />My Commission Expires: <br />