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l <br /> I <br /> NOTARY FOR PERMIT STRUCTURE OWNER <br /> I <br /> ACKNOWLEGED BY: <br /> Applicant Representative Name <br /> Date Title { <br /> STATE OF ) <br /> )ss. ff <br /> COUNTY OF ) <br /> i <br /> The foregoing was acknowledged before me this day of ,20 ,by <br /> i <br /> as of <br /> i <br /> My Commission Expires: <br /> Notary Public <br /> M <br />