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<br />NCLWF Property CE Template – rev. Oct 2023 <br />17 of 18 <br /> <br /> <br />IN WITNESS WHEREOF, Grantor, by authority duly given, has hereunto caused these <br />presents to be executed under seal in such form as to be binding, the day and year first above <br />written, and Grantee accepts this Conservation Easement by the recording hereof in the public <br />records. <br /> <br />GRANTOR: <br /> <br />ORANGE COUNY, A LOCAL BODY POLITIC AND <br />CORPORATE <br /> <br />By: ______________________________________ (SEAL) <br /> Jean Hamilton <br /> Chair, Orange County Board of Commissioners <br />ATTEST: <br /> <br />By: ______________________________________ <br /> Laura Jensen <br /> Clerk to the Board of Commissioners <br /> <br /> <br />[Affix Corporate Seal] <br /> <br /> <br />STATE OF NORTH CAROLINA <br />COUNTY OF _________________ <br /> <br /> I, the undersigned Notary Public of the aforesaid county, North Carolina, do hereby <br />certify that Laura Jensen personally appeared before me this day and acknowledged that he/she is <br />the Clerk to the Orange County Board of Commissioners, a local body politic, and that by <br />authority duly given and as the act of the corporation, the foregoing instrument was signed in its <br />name by its Chair, Jean Hamilton, sealed with its corporate seal, and attested by himself/herself <br />as its Clerk. <br /> <br /> Witness my hand and notarial seal this the ______ day of ______________________, <br />2025. <br /> <br /> Notary Public: _______________________________ <br /> <br /> Printed Name: ______________________________ <br /> <br /> My commission expires: _______________________ <br /> <br />STAMP/SEAL <br /> <br />Docusign Envelope ID: F21173B5-89BA-402D-A035-40030539EB5E