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HOLD HARMLESS AGREEMENT � <br /> FOR SEWER CONNECTION VARIAN <br /> OWNER <br /> STATE OF WASHINGTON ) <br /> :ss. <br /> County of Snohomish � <br /> On this o�of 19 !(J� before me personally appeared <br /> Q��e � • �-C�m S to me known to be the individual that <br /> executed the foregoing instrument, and acknowiedged the foregoing instrument to be his and her <br /> free and voluntary act and deed, for the uses and purposes therein stated. <br /> IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal, the day and <br /> year first above written. <br /> ��`.'°��"::. <br /> �� F U� � Dated: �� �S <br /> Q,�G?w�"`x,�F'S' <br /> � ,.�*- '� 9 Signature of <br /> a aNOTA�Y '" Notary Public: �_ <br /> a <br /> p�}g�IC o Notary (print name) � ' 6. <br /> � 12•120�1\�c; /� � � ^ <br /> Wps� Residing atl A Npv.pQ�nr� <br /> My appointment expires: _ l�.—�—A� <br /> �� � <br /> 3 <br /> .) <br />■ <br />