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6 <br /> CITY: Address for Notice: <br /> CITY OF EVERETT, a political subdivision City of Everett <br /> of the State of Washington Planning and Community Development <br /> Department <br /> 2930 Wetmore Avenue <br /> By: Everett, WA 98201 <br /> Attn: Dave Koenig <br /> Name: <br /> Title: <br /> CITY ACKNOWLEDGMENT <br /> STATE OF WASHINGTON <br /> ss. <br /> COUNTY OF SNOHOMISH <br /> I certify that I know or have satisfactory evidence that <br /> is the person who appeared before me and said person acknowledged that he signed <br /> this instrument, on oath stated that he is authorized to execute the instrument and <br /> acknowledge it as the of <br /> to be the free and voluntary act of such party for the uses and purposes <br /> mentioned in the instrument. <br /> Dated this day of , 20 <br /> (Signature of Notary) <br /> (Legibly Print or Stamp Name of Notary) . <br /> Notary public in and for the state of Washington, <br /> residing <br /> at <br /> My appointment expires <br /> [Signatures continue on following page.] <br /> Page 10 of 12 <br /> 82 <br />