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DATED: , 2002. <br />PERMITOR: <br />STATE cm NEIIRASKA <br />1 ss <br />COUNTY OP BALI. ) <br />200207951 <br />CITY OF GRAND ISLAND, NEBRASKA, <br />A Municipal Corporation, <br />BY: <br />Ken Gp dt, Mayor <br />Attest: <br />RaNae Edwards, City Clerk <br />PERMITTEE: <br />BY: a4l2i � <br />Grand Island Are Habitat for Humanity <br />On this day ofa -,20 before me, the undersigned, a Notary Public in and for said County <br />mid Slate, personally appccirc , to me luxiwn to be the identical person who signed the <br />foregoing Public Sewer ColligIffell Permit mid acknowledges the execution thereof to be his voluntary act mid decd for the pugiose <br />therein expressed. <br />«g1rNESS my hmid mid Notarial Seal (lie dale above written. / <br />otary Public <br />GENERAL NOTARY ate M Nebraska <br />SHERRY A. PETERS <br />My C0MM. 6S. Wl 9.2DDI <br />.$_ <br />Y <br />