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Pages 5 of 9 <br />I certify, under penalty of pc-qury by Me laws o1 tFte "State of Cdirforrtia, that titer i0orniation <br />contained in this application is true and correct. I acknowledge and agree that the Orange <br />County Local Agency Formation Commission is :rolying on tho accuracy of the informar on <br />provided and my representaricns in order to proms this application proposal, <br />Signature: <br />Nacre, <br />Tkta; <br />Data, <br />fl'tw 10fiv"wo-w ow'moltli to +1 <y!(,:+i+`nI wi 'rfa' ze'wr ;car. c(hrrn' ifv is , M t ch aauar Trddrc hea+.r+F 4 f AM'VIMI0vr <br />C iqv $ccewjl 6Z!(j.^ sty.) <br />Resolution No. 2019-077 <br />Page 10 of 14 <br />