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Easement <br /> —INDIVIDUAL <br /> The terms and conditions of this easement are hereby accepted and approved by the City as of the`'! <br /> date hereinabove set forth. <br /> CITY OF EVERET! <br /> By: c? 6 <br /> Title: /tit , <br /> REPRESENTATIVE ACKNOWLEDGMENT <br /> STATE OF WASHINGTON • <br /> ) <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 ofNotary Public: <br /> Notary(print name): <br /> Residing at: <br /> My appointment expires: <br /> 5 _ ; <br /> AF2OO4. 040 6os78 <br />