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Witnesses: <br />Printed Name: <br />Printed Name: <br />STATE OF FLORIDA <br />COUNTY OF INDIAN RIVER <br />Developer <br />By: <br />Printed Name: <br />Title: <br />(If corporation, president, vice president, or <br />secretary) <br />The foregoing was acknowledged before me this day of <br />200, by as for <br />Signature of Notary Public - State of Florida <br />Print, Type or Stamp Commissioned Name of <br />Notary Public <br />Personally Known OR Produced Identification <br />Type of Identification Produced <br />4 <br />