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STATE OF CALIFORNIA ) <br /> ss <br /> COUNTY OF SAN JOAQUIN ) <br /> On this day of 19 before me, , <br /> personally appeared , personally known to me to <br /> be the person who executed this instrument as Chairman of the Board of <br /> Supervisors of the County of San Joaquin, and acknowledged to me that <br /> the County of San Joaquin executed the same. <br /> Notary Public <br /> STATE OF CALIFORNIA ) <br /> ss <br /> COUNTY OF SAN JOAQUIN ) <br /> On this the day of _ in the year _ before me, <br /> the undersigned, a Notary Public in and for said County and State, <br /> personally appeared <br /> personally known to me or proved to me on the basis of satisfac- <br /> tory evidence to be the person whose name subscribed to the <br /> within instrument and acknowledged that executed <br /> the same. <br /> Signature of Notary <br /> Name Typed or Printed <br /> REAL PROPERTY DESCRIPTION <br /> Insert. . . . . . . . . . <br /> PLEASE NOTE: Planning Division must contact the County <br /> Counsel ' s Office for correct procedure. <br /> - 3 - <br />