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ACKNOWLEGED BY: <br />Structure Owner .,j c w Lu S V�� 11 y Name r v I A m e in -s°e <br />g u rr.- IC= I ec tr ; <- CC.4 a.... v Ze■ c / Q., <br />Date Z.- / - / Title CI, v.c <_v� .cy5le - if 9 f iei „-t -- <br />STATE OF C c' /0 ) <br />) <br />COUNTY OF ?,.c. 6re•-■..al <br />7 e fore oinQ as acknowledged before me this / day of !'A,f , 20 / <by <br />���? ', 'z'^ as nY...4A,,.3. - o Fs y ste Op of _cc,...._ Cc/ i's i/cc.II ey l�,„ratilGle,.. c. <br />My Commission Expires <br />05/23/2012 <br />—.fre <br />Notary P tblic _ . r. <br />D S. <br />_ AN'- <br />R` G B( /C <br />c0(2 <br />c o PO 0 <br />NOTARY FOR STRUCTURE OWNER <br />ss. <br />My Commission Expires: <br />