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STATE OF MINNESOTA ) <br />)ss. <br />COUNTY OF HENNEPIN ) <br />On this day of _ _ _ _ _ _ _ _ _ _ _ _, 199_, before me a Notary Public <br />within and for said County, personally appeared <br />known to me to be <br />the person(s) described in and who executed the foregoing instrument, and <br />acknowledged that he (they) executed the same as his (their) free act and <br />deed. <br />NOTARY PUBLIC <br />Reviewed for Administration: <br />Date:By: <br />(City Official) <br />This document has been drafted by: <br />City of Orono <br />1335 South Brown Road <br />P.O. Box 66 <br />Crystal Bay, Minnesota 55323 <br />Page 7 of 7 <br />I <br />iiii <br />■