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STATE OF MINNESOTA ) <br />) ss. <br />COUNTY OF HENNEPIN ) <br />This instrument was acknowledged before me this <br />_____________,19___,by __________________ <br />day of <br />NOTARY PUBLIC <br />STATE DEED TAX DUE HEREON: <br />This instrument is drafted by: <br />City of Orono <br />P.O. Box 66 <br />Crystal Bay, MN 55323 <br />Page 3 of 3