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M <br />IN WITNESS WHEREOF, the parties have executed this Agreement in the County of Orange, <br />State of California. <br />DATED: , 2016 <br />APPROVED AS TO FORM: <br />OFFICE OF THE COUNTY COUNSEL <br />By 4t <br />eputy <br />DATED:_ _ y_ 2016 <br />ATTEST: <br />By <br />City Clerk <br />DATED: <br />CF6A 16,738 <br />2016 JAQ <br />U.S. Department or Jusilm <br />2016 <br />COUNTY OF ORANGE, a political <br />subdivision f the State f alifo nia <br />By <br />Sandra Hutchens, S40 -Coroner <br />Sheriff -Coroner Department <br />°COUNTY" <br />By <br />Name and Title <br />city <br />DATED: 2016 <br />APPROVED AS TO FORM <br />& n' 1 J�J ' <br />Laura A. Rossini <br />Senior Assistant City Attorney <br />Page 6 of 5 <br />25H-7 <br />