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EXHIBIT C- <br />Description of Adjacent Owner and Adjacent Property <br />Ad}acent Property <br />Ow ter 3 of R Cor: <br />Interest Owned <br />(circle one) Fee Simple --- Life Estate --• Owner of a 11 Interest. <br />Street Address: , South Bond, Indiana <br />' Tax Id. Nini r(s): <br />Recording No, of <br />Applicant's Deed; Doc. No.. or Deed Book _ Page <br />Owner's Deed <br />ecor in & Date. <br />I am the owner of the property interest specified above. I have reviewed this Cross Access <br />Easement Agreement and am duly authorized to approve and execute it. <br />DATE: <br />ADJ AGENT O WNER <br />By: <br />Printed: <br />Its: <br />STATE OF INDIANA, COUNTY OF.... SS: <br />Before me, the undersigned, a Notary Public, in and for said County and State, personally <br />appeared , known to me to be the <br />Applicant specified above And aoknowledged the execution oFthe foregoing Agreement. <br />IN WITNESS WHEREOF, I have herounto subscribed my name and affixed my -official seal on <br />the day of 20_. <br />(SISAL) <br />, Notary Public <br />Residing in , Indiana <br />