29.03.2013 Views

Appendix 4-A - Virginia Department of Conservation and Recreation ...

Appendix 4-A - Virginia Department of Conservation and Recreation ...

Appendix 4-A - Virginia Department of Conservation and Recreation ...

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

Accepted:<br />

TOWN OF BLACKSBURG, VIRGINIA<br />

BY:______________________________<br />

Approved as to form<br />

__________________________________<br />

Town Attorney<br />

COMMONWEALTH OF VIRGINIA<br />

COUNTY OF MONTGOMERY<br />

Acknowledged before me this ________ day <strong>of</strong> __________________, 2009, by<br />

_________________________________, the _____________________ <strong>of</strong> ________________,<br />

a <strong>Virginia</strong> corporation, Grantor.<br />

My Commission Expires:<br />

__________________________<br />

COMMONWEALTH OF VIRGINIA<br />

COUNTY OF MONTGOMERY<br />

__________________________________<br />

Notary Public<br />

Acknowledged before me this ________ day <strong>of</strong> __________________, 2009, by<br />

_________________________________, the ________________________________________,<br />

<strong>of</strong> the Town <strong>of</strong> Blacksburg, <strong>Virginia</strong>, Grantee.<br />

My Commission Expires:<br />

__________________________<br />

__________________________________<br />

Notary Public

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!