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Okaloosa County BOCC — December 18, 2012 — Certification Signed 2009 — reading text

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APPENDIX XI CERTIFICATION OF LOCAL GOVERNMENT APPROVAL FOR NONPROFIT ORGANIZA1 TIONS I William J. Roberts, III; Chairman [NAME & TIDE] duly authorized to act on behalf ofthe _ Okaloosa County Board of County Commissioners [NAME OF CITY OR COUNTY] hereby approve the following project(s): Ohaloosa Laon Heme less Combneum 3 bare | [NAME OF AGENCY] Opparteniley Tine ’ which is (are) to be located in 0 Kaloosa. Couarte, Ct Boss Pos Vesoy Peel [NAME OF CITY OR COUNTY] w (tle William J. al ME ~# Chairman [TITLE] [SIGNATURE] 5-(4-04 [DATE] 67 FACILITY RFP # 04F09GC1

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