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Approved as to Form: <br />Office of the County Counsel <br />Change County, California <br />By: — ...._.___ <br />Deputy <br />Date: <br />GRANTEE <br />COUNTY OF ORANGE., <br />a political subdivision of the State of <br />California <br />Scott D. Mayer <br />Chief Real Estate Officer <br />County Executive Office <br />Pursuant to Section 1 -4 -220 of <br />Codified Ordinances of the <br />County of Orange <br />ACKNOWLEDGMENT <br />A notary public or other officer completina, this certificate verifies <br />only the identity of the individual who signed the document to <br />which this certificate is attached, and not the truthfulness, <br />accuracy, or validity of that document. <br />STATE OF CALIFORNIA <br />COUNTY OF <br />On 20__,, before me, Notary <br />Publio, _ personally appeared _ , who proved to me on the <br />basis of satisfactory evidence to be the person(s) whose name(s) is /are subscribed to the within <br />instrument and acknowledged to me that he /she/they executed the same in his /her /their authorized <br />capacity(ies), and that by his /her /their signature(s) on the instrument the person(s), or the entity upon <br />behalf of which the person(s) acted, executed the instrument. <br />I certify under PENALTY OF PERJURY under the laws of the State, of California that the foregoing <br />paragraph is true and correct. <br />WITNESS my hand and official seal. <br />Signature <br />10 <br />25G -18 <br />(SEAL) <br />