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202001655 <br />Amick Acres Second 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 />Printed Name <br />Signature <br />Printed Name <br />Address It 0 t C 4v•c- 001-1; 12 (tia.x , NLs ‘9 g 3 -2- <br />Lot(s) <br />Lot(s) Owned, (Legal Description) L o < <br />STATE OF NEBRASKA <br />COUNTY OF HALL <br />SUBSCRIBED <br />SS: <br />AND SWORN to before me this i <br />L <br />day of <br />, 284-9; by \ r 11 X c — NIP . c, }� <br />GENERAL NOTARY - State of Nebraska <br />181 KARLA A. COLLINSON <br />My Comm. Exp. August 16. 2023 <br />Notary Public <br />