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NOTARY FOR STRUCTURE OWNER <br />ACKNOWLEGE{(D�� BY: \ <br />Structure Owner•{-�Y Y 1.�±�-h LgkV(,c � Name bV(,�,u CI-)e)n <br />Date YV\rj,( �2, v�) I? Title <br />STATE OF ) <br />) ss. <br />COUNTY OF� Q Offs ) <br />The foregoing was acknowledged before me this day of { V 20]x, by <br />of <br />t My Commission Expires: <br />tary Public <br />0 TAR <br />PUBLIC <br />