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• <br />UTILITY EXTENSION AGREEMENT <br />PAGE 6 <br />IN WITNESS WHEREOF, the Parties to these present have executed <br />this agreement in several counterparts, each of which shall be <br />deemed an original, in the year and day first mentioned above. <br />CITY OF LA PORTE <br />(SEAL) <br />ATTEST: <br />BY: <br />(Secretary) <br />(SEAL) <br />(Witness) <br />Approved as to Form: <br />(City Attorney) <br />BY: <br />TITLE: <br />OWNER : ___._.________--_ <br />BY : _._ -----~---------- <br />TITLE: ~._________________ <br />(Address/7_ip Code) <br />OWNER: <br />BY: <br />TITLE: <br />(Address/Zip Code) <br />Note: City Secretary should attest: If Owner is a corporation, <br />Secretary of Corporation should attest. <br />