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SIGNATURE- <br /> I certify under penalty of perjury that I am (check one ) : <br /> l--J Legal Owner( s ) (All owners must sign as their names appear on the <br /> deed. ) , <br /> �I corporate Officer( s ) empowered to sign for the corporation, <br /> LI Owner 's legal agent having Power of Attorney for this action (a <br /> notarized Power of Attorney document must accompany the <br /> application) , <br /> and that the�j foregoing is true and correct. <br /> (Signature ) (Date ) <br /> (Signature ) (Date ) <br /> i <br />