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i <br /> r,As�MrNT ; <br /> , <br /> , <br /> �rDivmu� � <br /> — � <br /> - I <br /> i <br /> The terms and conditions of this easemcnt are hercUy accepted and approved by:he City as of the <br /> date:iereinabove set fortli. { <br /> CITY OP IiVERETT � <br /> I <br /> By. .r. �� j <br /> Title: � � <br /> i <br /> I�EP12ESrNTA1'IVE ACKNO�VLrDGIVIENT <br /> S1'ATL OF 1'VASiiINGTON ) <br /> :ss. <br /> Coiinty of Snohomish ) <br /> I ceriify tl�at I kno�v or have satisfactory evidence tl�at � <br /> signed this instnmient, on oatli statecl that (he/she/tl�ey) (washverel autliorized to execute the <br /> instrument and acknowledged it as tite _ of <br /> to be tlie free and voluntary act of sucl� party for dic uses and purposes mentioned in die <br /> instntment. <br /> Dated: <br /> Sig�ature of _ <br /> Notary Public: <br /> Notuy(print uame) <br /> Residing at <br /> My appoindnent expires: <br /> 5 � <br /> �� <br />