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State of Mi3nesota <br />so <br />County of (4e <br />Dated this 8TH day of May <br />Applicant V liaxe of Mounds View <br />(Prit or Type Name) <br />Signed by <br />at er <br />ch> <br />erOae, <br />Address <br />AFFIDAVIT <br />(Delete the form not applicable) <br />19 <br />4 <br />of 3 ct ki, 21 <br />/t...." <br />8 who keing first duly sworn and tour known to be 4- <br />19 before me personally appeared <br />A <br />the person,___ who executed the foregoing application, acknowledges th,9t the statements, maps, plans, docu- 1 <br />ments,dand other supporting data ye true and correct according to fi best knowledge and belief and <br />JL.-(' <br />that executed the same as. own free act and deed. <br />lyknown, <br />esident and the Sec <br />nt, that the seal affixed is the corporate seal of <br />the corporation by authority of <br />ta are true and <br />day of 19____, before me personally <br />and <br />who being each by me duly sworn, ■Y at they are reapecti <br />retary of the corporation named in the forego .Po <br />said corporation, that said ins as signed and seal <br />its Board of Di at the statements, maps, plans, documents, and other s <br />according to beat knowledge and belief, and acknowledged said instrument to be <br />and deed of said corporation. <br />izA <br />J <br />Notary Publi 11 4 •1 74, A__ Oxmty <br />7-• <br />My commission expires <br />