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21 <br /> IN WITNESS WHEREOF, the Grantors and Grantee, intending to legally bind <br /> themselves, have set their hands on the date first written above. <br /> GRANTORS: <br /> [Name] <br /> [Name] <br /> Accepted: <br /> GRANTEE: <br /> ORANGE COUNTY,NORTH CAROLINA <br /> By: <br /> [ ], Chair <br /> Orange County Board of Commissioners <br /> ATTEST: <br /> Laura Jensen, Clerk to the <br /> Board of Commissioners <br /> Page 15 of 17 <br />