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<br />A. <br /> <br />CONDITIONS OF PERMIT AFFIDAVIT <br />~OTICE OF DEED RESTRICTIONS <br /> <br />m\.._ <br /> <br />Q-'who has produced vI} 9JRlvU,::> )I'~, <br />(type of identi.fication) <br />Gddid not take rtn oath, <br /> <br />o who has <br /> <br />of identification) <br />take an oath <br /> <br />acknowledgement <br /> <br /> <br /> <br />frRv0.J '0- U'l-tT L~Z- - \! 0 <br />Name typed, printed or stamped <br />