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202001655 <br />Amick Acres*loggid 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 $Subdivisaon"md the "Amick Acres Second Subdivision". <br />c <br />Printed Name <br />Signature <br />PA 0 <br />Printed Name <br />Address / ` (" �/1 ,/ !> L -'Y <br />n <br />Lot(s) Owned, (Legal Description) '4 / s - s' - <br />1/lt, <br />STATE OF NEBRASKA <br />SS: <br />COUNTY OF HALL <br />SUBSCRIBED AND SWORN to before me this / day of <br />1-ebc-u ct , 20ttl, bY, 't CAthe- 5 _,'r1)P>' <br />[M01A <br />GENERAL NOTARY - State of Nebraska <br />9N;; KARLA A. COLLINSON <br />My Comm. Exp. August 16, 2023 <br />Notary Public <br />