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GRANTEE <br />NORTH CAROLINA <br />day, and: <br />COUNTY <br />(SEAL) <br />I certify that the following person(s) personally appeared before me this <br />• I have personal knowledge of the identity of the principal(s); <br />• I have seen satisfactory evidence of the principal's identity, by a current state <br />or federal identification and with the principal's photograph in the form of <br />• A credible witness has sworn to the identity of the principal(s); <br />Each acknowledging to me that he /she [if an individual] [or is the <br />of NAME OF GRANTEE, state capacity such as a <br />North Carolina municipal corporation and that by authority duly given and as the <br />act of the corporation he /she] voluntarily executed the foregoing instrument for <br />the purposes therein expressed and in the capacity indicated: <br />(names /capacities of principals). <br />Witness my hand and official stamp or seal, this day of <br />2009. <br />Notary Public <br />Print Name: <br />My Commission Expires: <br />STAMP /SEAL <br />APPROVED AS TO FORM: <br />CITY /COUNTY /TOWN ATTORNEY <br />ACCEPTED AS TO FORM: <br />CWMTF Stormwater Easement Template, rev 0 11 3/9/2010 <br />Attachment number 1 <br />F -8 Page 82 <br />