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1 . <br /> SIGNATURE <br /> I certify under penalty of perjury that I am (check one ) : <br /> Xu Legal Owner(s ) (All owners must sign as their names appear on the <br /> deed. ) , <br /> J 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 /> aad foregoi g i true and correct. <br /> /// 141 <br /> (S3gnature ) (Date ) <br /> (Signat ) <br /> (Date ) <br /> ,�,r., ate`.�: •� . �;- `��o <br /> ( atur ) (Date) <br /> (Signature) (Date) <br /> Major Subdivision - 9 - ( 7/84 ) <br /> 1 <br />