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1 <br /> I agree that if I fail to pay the assessed costs the City may attach a lien against the <br /> property that is the subject of the Order. Such lien shall include the total cost of the <br /> aba ent including y lties assessed against the property owner. 1 6/ <br /> tAstii—/ '-'6,,,,,,,,t14.0 <br /> ignature of Owne = Date <br /> 4 11 <br /> ignatu % Owner(s) D e 9/'dl L <br /> I <br /> Recei t of request, Acknowledged by: <br /> / 1 i <br /> Au on. gent of the City of Everett to I <br /> I <br /> 1 <br /> I <br /> ,I <br /> 1 <br /> II <br /> I <br /> 1 <br /> i <br /> I <br /> Turnbull—April 2012 Page 3 of 3 <br /> ORIGINAL <br />