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<br /> <br />TT 5/7/2021 Page 10 of 12 420 N. Main Parking License <br />Health Care Agency Standard Acquisition License Form <br /> <br /> <br /> <br /> <br /> <br />SIGNED AND CERTIFIED THAT A <br />COPY OF THIS DOCUMENT HAS BEEN <br />DELIVERED TO THE CHAIR OF THE BOARD <br />PER GC § 25103, RESO. 79-1535 <br /> <br />Attest: <br /> <br /> <br /> <br /> <br />ROBIN STIELER <br />Clerk of the Board of Supervisors <br />of Orange County, California <br /> <br /> <br /> <br /> <br /> <br />COUNTY <br /> <br />COUNTY OF ORANGE <br /> <br /> <br /> <br />Chairman of the Board of Supervisors <br />Orange County, California <br />EXHIBIT 1