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5311 DESIGNEE CERTIFICATION FORM <br /> C <br /> The undersigned duly qualified (C4Wr, Board of County Commissioners), acting on behalf of the <br /> (Orange County), certifies that the foregoing is a true and correct copy of a resolution adopted at a <br /> legally convened meeting of the (Board of County Commissioners)held on (October 18, 2016) <br /> [If the Applicant has an official seal, impress here.] <br /> ap <br /> (Si pa re of Recording Officer) <br /> 17 4z Vi'v-, 9;�j <br /> 5z (Title of RecoT-V&Off r) <br /> �'�� <br /> Caro��'�� (Date) <br />