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NOTARY FOR STRUCTURE OWNER <br /> ACKNOWLEGED BY:O- /r, Al l lv\ &-n <br /> Structure Owner , jo Lk C Name ' <br /> Date Title 1' <br /> STATE OF ) <br /> }ss. <br /> COUNTY OF S_ ) <br /> The reggin as acknowledged before me this day of� "�'�' , 20/�, by <br /> s of <br /> My Commission Expires:,f 7 _ <br /> tary li <br /> oe <br />