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Dated: <br />SIGNED AND CERTIFIED THAT A COPY <br />OF THIS DOCUMENT HAS BEEN <br />DELIVERED TO THE CHAIRMAN OF THE <br />BOARD <br />Clerk of the Board of Supervisors <br />County of Orange, California <br />NOTICE TO COUNTY OF ORANGE TO BE <br />GIVEN TO: <br />County Executive Officer <br />10 Civic Center Plaza <br />Santa Ana, CA 92701 <br />APPROVED AS TO FORM: <br />0 <br />County Counsel <br />Dated: <br />COUNTY OF ORANGE, a political <br />subdivision of the State of California <br />By: <br />Chairman of its Board of Supervisors <br />[Signatures Continued on Page 5] <br />13 <br />