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202001655 <br />Amick Acres Subdivision <br />We, the undersigned, hereby affirm our vote in favor of adopting the <br />Amended Agreement for Protective Covenants, Restrictions, and Conditions for the <br />"Amick Acres Subdivision" and the "Amick Acres Second Subdivision". <br />J:. n <br />Signature <br />Signature <br />Printed Name Printed Name <br />Address <br />Lot(s) Owned, (Legal Description) <br />STATE OF NEBRASKA <br />SS: <br />COUNTY OF HALL <br />SUBSCRIBED AND SW to (before, me this day of <br />f \c ck. , 2,D 9 by C,n U c. Iv1G <br />GENERAL NOTARY - State of Nebraska <br />KARLA A. COLLINSON <br />My Comm. Exp. August 16, 2023 <br />Notary Public <br />