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HOLD HARMLESS AGREEMENT <br /> FOR SEWER CONNECTION VARIANCE <br /> O R <br /> OWNER <br /> STATE OF WASHINGTON } <br /> :ss. <br /> County of Snohomish ) <br /> On this �?a of' <br /> 201"-�2 , before me personally appeared <br /> � hg Y)6ww to me known to be the individual that <br /> executed the foregoing instrument, and acknowledged 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 /> Dated: rut ---q 3r4 2-011 <br /> Signature of <br /> Notary Public: <br /> Notary Public <br /> State of Washington Notary (print name) �- 51 c" — �4A t a <br /> M SHIRAZ SHAIDEEN <br /> My Appointment Expires Feb 8 22014 Residing at <br /> My appointment expires: <br /> judc(holdhrm) <br /> 3 <br />