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Dated: , 2017. <br />Title <br />STATE OF MINNESOTA ) <br />) ss. <br />COUNTY OF WASHINGTON) <br />On this day of , 2018, before me, a Notary Public within and <br />for said County, personally appeared , to me known as the <br />person described in and who executed the foregoing instrument, who stated that they are <br />the owners of the property this permit applies to, and acknowledged that they executed <br />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 />