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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 />GLat? <br />Signature <br />Signature <br />SG [r - W I ce) ,- <br />Printed Name Printed Name <br />Address 3 t ( CG;fy-fige t <br />Lot(s) Owned, (Legal Description) /4 / f si. <br />STATE OF NEBRASKA <br />COUNTY OF HALL <br />SS: <br />A SUBSCRIBED AND SWORN to before me this 19 day of <br />,2.019by )1I1 \QrX <br />A GENERAL NOTARY - State o` Nebraska <br />KARLA A. COLLINSON <br />[ My Comm. Exp. August 16, 2023 <br />rvc I <br />AA.,011\ <br />Notary Public <br />