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NOTARY FOR PERMIT STRUCTURE OWNER <br /> i <br /> i <br /> ACKNOWLEGED BY: <br /> Applicant Representative Name <br /> Date Title <br /> STATE OF ) I <br /> )ss. <br /> COUNTY OF ) <br /> The foregoing was acknowledged before me this day'of ,20 ,by <br /> as of i <br /> i <br /> 1 <br /> My Commission Expires: <br /> Notary Public <br /> i <br /> I <br /> I <br /> I <br />