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WITNESSES: <br />(print) <br />STATE OF FLORIDA <br />COUNTY OF SEMINOLE <br />The foregoing <br />P� , rm ��011 <br />personally known to <br />identification. <br />CITY OF CASSELBERRY, FLORIDA <br />BY:__ ✓ -- <br />Print name: 0 <br />Title:t®, f �,d�� �'�'�ttc L <br />ATTEST <br />9 Al <br />By Donna G. Gardner, City Clerk <br />a, <br />Date: <br />APPROVED AS TO FORM AND:LLITY <br />For the use and reliance of the R'014044iwoo <br />City of Casselberry, Florida, only <br />2011 <br />By: COIWI'Le"/N'k t i1 <br />City Attorney <br />instrument was acknowledged before me this day of <br />, by � ,�'WV►O_ 6-L;_V6`F (check one) pCwho is <br />me or ❑ who produced as <br />BRENDA J. JONES <br />NOTARY PUBLIC <br />t <br />-STATE TE OF FLORIDA <br />Comr0 OD0950985 <br />Expires 5/2/2014 <br />C 6 a Q�1� � j��L_ <br />Notary Public — S e 0 <br />`,,Flolrida <br />Print Name: Y -e Y �►0 -- T � <br />My Commission expires: <br />G:\Docs\Reischmann\CDR\Casselberry\Agreements\Encroachment agreement form.dou <br />2 <br />