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20-22613
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2020
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20-22613
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Last modified
5/17/2021 1:45:31 PM
Creation date
5/17/2021 1:45:30 PM
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Building Department
Company Name
EMERALD POINTE RV RESORT
Building Department - Doc Type
Permit
Permit #
20-22613
Building Department - Name
DEJONG,JAN LAMBERTUS & CARLA
Address
3517 PERIDOT LN LOT 231
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OR BK 10063 PG 1249 Page2of2 <br /> in Witness Whereof,grantor has hereunto set grantor's band and seal the day and year fast above written. <br /> Signed sealedand <br /> fdelivered ioar presence: y�jf Ci x �{l� <br /> l°lit{tess 11 Sigoa`ture: t;ay Ar. F+sk <br /> Print Witness AI Name Ait f 1i <br /> -w-11mg In Signature: ; <br /> Print Witness n T^;7 . 2fi�J Ev J f"1i7::y�'•`!4�✓ <br /> State ofPcnr� is <br /> County of C G UEV1bi�'� ` <br /> The foregoing histrumnt was acknowledged before me by means of[xj physical presence or online notarization,this <br /> ,f day of February.2020 by Grav Ann Fisk.an ntrremarded widmv,Zvho U is personally kr:own or[ has ptoduved <br /> exVet 5 'l M i'n e SL as identification. ,+ <br /> [Dloian,Seaij iio—m ld Public <br /> V Printed Name: an n <br /> -�d.,, ONWEALTH OF PEN(4S)I.VANtA My ConMtsission Expires. <br /> NOTARtALSEAI. <br /> • ;.+ .;'.Anrita.Krvm.NafptyPub3ic <br /> -_ ;�1 Sion Twp..Coluta!li3Geuntp <br /> t.tyGogstnissEanC-xpiees:uty�B.2D2= <br /> .'' tS:F:2"�,?EFaSYt'.at�A:SS� �L»"•^.a l:07;ft+'�g <br /> 111w ittyDeed-PAp2 ttnttlilefitnfl <br />
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