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PERMITOR: <br />F.• �� A As <br />F �� n• " °Na- " " " "a "LAr <br />to BY: <br />•a <br />Attest: <br />STATE OF NEBRASKA > <br />) ss <br />COUNTY OF HALL ) <br />200402010 <br />CITY OF GRAND ISLAND, NEBRASKA, <br />A Municipal Corporation, <br />RaNae Edwards, City Clerk <br />PERMITTEE: <br />BY: 61- / , <br />Galvan Constructiony <br />V <br />On this 17 tt day of— i QF �, 2004, before me, the undersigned, a Notary Public in and for said County and <br />Srzte, persoiizlly appeared _ - h��I 0_ n tome known to be the identical person wlio signed the foregoing public <br />Sewer Connection Permit and acknowledges the execution thereof to be his voluntary act and deed for the purpose therein <br />expressed. <br />WITNESS my hand and Notarial Seal the date above written. <br />% Q-1 <br />;'t ^t�•P PATRICIA A. GERICKE, <br />•G` "E "A`•= MY COMMISSION EXPIRES Notary Public <br />NOTARY ' <br />tiRAS�P:` December 12, 2006 <br />-i- <br />