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� <br /> rAscnirrrT <br /> IT�'DIVIDUAL � <br /> Thc terms and conditions of'this easement are hereUy acceplcd and approved Uy the City as of the <br /> date hereinaUo��e sct forth. <br /> CITI' OF GVGRLTT <br /> By: r �v�� <br /> TiUe: �� Q��•� <br /> R�PRGSrNTr�TNI; ACKNOWLGDGMBNT <br /> STATG OP ���ASI-IINGTON ) <br /> :ss. <br /> County of Snohomish ) <br /> 1 ccrtify that 1 kn���v or havc satisfactory c��idcncc lhat <br /> signed this instrumcnt, on oath slated that (hc/she/tlicy) (�vash��ere) authorized to cxccutc Uic <br /> instrwnent and acknowledgcd it as the of <br /> to be lhe free and ��oluntar}� act ot� such party for lhe uses and ptuposes mentioned in the <br /> instrumcut. <br /> Datcd: <br /> Sigralurc of <br /> Not:uy Public: <br /> Notary(print namc) <br /> Residing at <br /> — -- _- -_ - _-------- ------- — - ------ — <br /> _-- - - <br /> My appointment expires: __ _ <br /> 5 <br /> 5� <br />