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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 />7,64 <br />/ <br />Signature ' Signature <br />Printed Name <br />Address <br />Printed Name <br />Lot(s) Owned, (Legal Description) 3 ,4Z 01 . 27 7 54d. <br />STATE OF NEBRASKA <br />SS: <br />COUNTY OF HALL <br />SUBSCRIBED AND SW <br />iiC't:C ,2,b <br />oto <br />GENERAL NOTARY - State of Nebraska <br />KARLA A. COLLINSON <br />My Comm. Exp. August 16, 2023 <br />0 c1 to be sre II e this <br />I .,� �► _ <br />m a...`.�csss�•'.. <br />_. I ' <br />Notary Public <br />