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Orange Water and Sewer Authority <br />Dedication Form <br />12/11 /08 <br />Orange Water and Sewer Authority <br />400 Jones Ferry Road <br />Post Office Box 35 <br />Carrboro, NC 27510 <br />Re: Lake Hogan Farms Community Center Sewer Extension <br />Dear Sirs: <br />Orange County, North Carolina the current owner of the Lake Hogan Farms Community <br />Center, according to Plat Book 46 at Page 167 of the Orange County Registry, does <br />hereby dedicate and convey unto Orange Water and Sewer Authority, its successors <br />and assigns, all of its right, title and interest in and to the sewer lines constructed in <br />accordance with final plat titled Lake Hogan Farm Sewer Outfall, Project Number 07- <br />542, fieldwork dated December 18th, 2007, which Plat is recorded at plat book , <br />page ,Orange County Registry. <br />IN WITNESS WHEREOF, this letter is executed by the duly authorized officers of <br />Orange County, North Carolina and its corporate seal to be hereunto affixed, all on the <br />day and year first above written. <br />Orange County, North Carolina <br />ATTEST: <br />Donna S. Baker <br />Clerk to the Board of County <br />Commissioners <br />By: <br />Valerie P. Foushee <br />Chair, County Commissioners <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 is the (Position of <br />Company / Corporation), a corporation, and that by authority duly given as the act of the <br />corporation, the foregoing instrument was signed in its name by its (Title), sealed with <br />its corporate seal, and attested as its Secretary. <br />(Notary Public) <br />My Commission. Expires: <br />