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IN WITNESS WHEREOF, Grantors have executed this Grant of Temporary Easement on <br />the date shown in the acknowledgment set forth below to be effective as of the Effective Date. <br />SS: <br />COUNTY OF <br />GRANTORS: <br />Benjamin Miller <br />Christina Miller <br />Before me, the undersigned, a Notary Public in and for said State, personally appeared <br />Benjamin Miller and Christina Miller, to me known to be the Grantors in the above Grant of <br />Temporary Easement, and acknowledged the execution of the same as the Grantor's free and <br />voluntary act and deed. <br />WITNESS my hand and Notarial Seal this day of , 20 <br />Residing in <br />My Commission Expires: <br />County, <br />Notary Public <br />I affirm, under the penalties for perjury, that I have taken reasonable care to redact each Social Security number in this document, unless <br />required by law. Is/Danielle Campbell Weiss <br />This instrument was prepared by Danielle Campbell Weiss, Senior Assistant City Attorney, City of South Bend, Indiana, Department of Law, <br />227 W. Jefferson Boulevard, Suite 1200S, South Bend, IN 46601. <br />iLl <br />