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3 <br /> March 2, 2021 <br /> Orange Water & Sewer Authority <br /> 400 Jones Ferry Road <br /> Carrboro, NC 27510 <br /> Re: Orange County Southern Human Services Center: Seymour Center <br /> Renovation and Addition <br /> Dear Sirs: <br /> Orange County, the current owner of the lot located at 2551 Homestead Road, <br /> according to Plat Book 1009 at Page 437 Orange County Registry, does hereby <br /> dedicate and convey unto Orange Water and Sewer Authority, its successors <br /> and assigns, all of its rights, title and interest in and to the water lines constructed <br /> in accordance with plans titled Orange County Southern Human Services Center: <br /> Seymour Center Renovation and Addition prepared by Grounded Engineering, <br /> and dated 13 August 2019. <br /> IN WITNESS WHEREOF, this letter is executed by the duly authorized officers of <br /> Orange County and its corporate seal to be hereunto a fixed, all on the day and <br /> year first above written. <br /> (Name of Owner/ Company / Corporation) <br /> ATTEST: By: <br /> (Title) (Title) <br /> NORTH CAROLINA <br /> ORANGE COUNTY <br /> I, , a Notary Public, hereby certify that (Attester) <br /> personally appeared before me this day and acknowledged that (He / She) is <br /> the (Position of Company / Corporation), a corporation, and that by authority <br /> duly given as the act of the corporation, the foregoing instrument was signed in <br /> its name by its (Title), sealed with its corporate seal, and attested as its <br /> Secretary. <br /> (Notary Public) <br /> My Commission Expires: <br />