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3 <br /> <br />NOTARY FOR STRUCTURE OWNER <br /> <br />ACKNOWLEGED BY: _______________________________________________________ <br /> <br />Structure Owner: ___________________________ Name: ____________________________ <br /> <br />Date: _____________________________________ Title: _____________________________ <br /> <br />STATE OF ______________) <br />) ss. <br />COUNTY OF____________) <br /> <br />The foregoing was acknowledged before me this____ day of _____________, 20___, by <br /> <br />______________________ as _____________________ of __________________________. <br /> <br /> <br />______________________________ My Commission Expires: ________________________ <br />Notary Public <br /> <br /> <br /> <br /> <br />