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NOTARY FOR STRUCTURE OWNER <br /> ACKNOWLEGED BY: <br /> Structure Owner <br /> Nune <br /> Date <br /> /iuo <br /> STATE OF ) <br /> ' )us. <br /> COUNTY OF ) <br /> The foregoing was acknowledged before nme this day of20___, 6v <br /> uu ' <br /> -----------'-----� -- of <br /> _______________ '-- _ - _ My Commission Gxnir�u� <br /> Notary Public ^ - - --- -' �— - <br />