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The individual executing this Agreement on behalf of the Applicant hereby affirms <br />under the penalties for perjury that the foregoing representations made on behalf of the <br />Applicant are true and correct to the best of my knowledge. <br />WITNESSED that the Property Owners have duly executed this Agreement for the <br />benefit of each other and the City of South Bend, Indiana. <br />APPLICANT <br />By: <br />Printed: <br />Its: <br />STATE OF INDiANA ) <br />SS: <br />COUNTY OF ) <br />Before me, the undersigned, a Notary Public, in and for said County and State, personally <br />appeared , known to me to be <br />the Applicant specified above and acknowledged the execution of the foregoing Agreement. <br />IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my official seal on <br />the day of , 20_, <br />(SEAL) <br />, Notary Public <br />Residing in , Indiana <br />(Applicant Signature Page) <br />