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0.(,) u_. /Lei/ <br />Amick Acres Second Subdivision <br />202001655 <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 t i -"Amick Acres Second Subdivision". <br />Ct, ma W k(.rsc"uspod <br />Signature <br />Printed Name Printed Name <br />Address 425 cameAy ARAE <br />Lot(s) Owned, (Legal Description) <br />STATE OF NEBRASKA <br />SS: <br />COUNTY OF HALL <br />;.17 /d,.1 - <br />SUBSCRIBED AND SWORN before me this _day of <br />_, UL) DnAVEADLI <br />1F (-OA ,�e ,. <br />9091) <br />GENERAL NOTARY - State of Nebraska <br />KARLA A. COLLINSON <br />My Comm. Exp. August 16, 2023 <br />Notary Public <br />