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Dated: . 2014. <br />Cynthia Bellamy <br />Shirley Smith <br />STATE OF MINNESOTA ) <br />) ss. <br />COUNTY OF WASHINGTON) <br />On this day of 2014, before me, a Notary Public within and <br />for said County, personally appeared and <br />to me known as the persons described in and who executed the foregoing instrument, <br />who stated that they are the owners of the property this permit applies to, and <br />acknowledged that they executed the same as their free act and deed. <br />Notary Public <br />This document was drafted by: Hugo City Council <br />14669 Fitzgerald Ave N <br />Hugo, MN 55038 <br />