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EASEMENT <br /> DISTRICT REPRESENTATIVE ACKNOWLEDGMENT <br /> STATE OF WASHINGTON ) <br /> :ss. <br /> County of Snohomish ) <br /> I certify that I know or have satisfactory evidence that <br /> signed this instrument, on oath stated that (he/she/they) (was/were) authorized to execute the <br /> instrument and acknowledged it as the of <br /> to be the free and voluntary act of such party for the uses and purposes mentioned in the <br /> instrument. <br /> Dated: <br /> Signature of <br /> Notary Public: <br /> Notary (print name) <br /> Residing at <br /> My appointment expires: <br /> The terms and conditions of this easement are hereby accepted and approved by the City as of <br /> the date hereinabove set forth. <br /> CITY OF EVERETT (GRANTEE) <br /> By: <br /> Title: <br />