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The foregoing instrument was acknowledged before me this ___ day of <br />___________ , 20 __ , by ________________ and <br />_______________ , the _____________ and <br />-----------of the City of Orono on behalf of the municipal corporation. <br />Notary Public <br />APPLICANT(S): <br />By: ___________ _ <br />By: ____________ _ <br />ACKNOWLEDGEMENT (APPLICANTS) <br />STATE OF MINNESOTA ) <br />) ss. <br />COUNTY OF HENNEPIN ) <br />The foregoing instrument was acknowledged before me this ___ day of <br />___________ , 20 __ , by ______________ and <br />______________ (husband and wife/single/a Minnesota Corporation) <br />as their free act and deed/on behalf of the corporation. <br />Notary Public <br />FEE OWNER(S): <br />By: ____________ _ <br />By: ------------- <br />Page 3 of 4