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<br />I have read the attached statement of Authority and Intent and <br />. <br /> <br />understand that I am siRning the following petition for the purpose <br /> <br />of having the attached ordinance #87-7 brought to a referendum <br /> <br />ballot. <br /> <br />First NAHE <br /> <br />ADDRESS <br /> <br />Last Name <br /> <br />I <br /> <br />do hearby swear that each signature on <br /> <br />this petition was made in my presence and that I believe them to be the <br /> <br />p,enuine si~nat1.1re of the person whose name it purports to be. <br /> <br />Subscribed and sworn to before me this <br />day of , 1987. <br /> <br />Notary Public <br /> <br />/7- '3 <br />