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Authorized by Council resclution, passed on

day of

19

The Corporate Seal of the Permittee
was hereunto affixed on the

day of 19

in the presence of

The signature of the Director of
Community Planning of The Corporation
of the City of Fort Coquitlam was
hereunto affixed-on the day

of 19

Director of Community Planning

Approved by the Ministry of
Transportation and Highways on
the day of

19