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 ...
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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