SIGNED by the Owner in the
Presence of;

Signature

ANN, ern cesta nbn menceien rg

Street Address

City, "Provinces, Postal Code

Occupation
(as to both signatures)

ALE: épplicable)

IN WITNESS WHEREOF the
Corporate Seal of the Owner
was hereunto affixed in the
Presence of:

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IN WITNESS WHERE the
Corporate Seal of the City
was hereunto affixed in the
presence of;

STUER AMAL ee SP BO ey,

Mayor

Ne ee

City Clerk

Oi harm

A RM ee

alas a Nee ates am MS Had Lg 8a
+ wh entecnnin M2 alin r

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