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<br />___________________________________ <br /> <br />_______________, _______________ <br /> <br /> <br />STATE OF MINNESOTA ) <br /> ) ss. <br />COUNTY OF WASHINGTON) <br /> <br /> <br /> On this ____ day of ___________, 2019, before me, a Notary Public within and <br />for said County, personally appeared _________________, __________, to me known as <br />the person described in and who executed the foregoing instrument, who stated that they <br />are the owners of the property this permit applies to, and acknowledged that they <br />executed the same as their free act and deed. <br /> <br /> ______________________________ <br /> Notary Public <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />This document was drafted by: Hugo City Council <br /> 14669 Fitzgerald Ave N <br /> Hugo, MN 55038 <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />