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2606 100TH ST SE 2017-08-03
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2606 100TH ST SE 2017-08-03
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Last modified
8/3/2017 8:50:59 AM
Creation date
8/3/2017 8:50:34 AM
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Template:
Address Document
Street Name
100TH ST SE
Street Number
2606
Imported From Microfiche
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HOLD HARLESSS AGREEMENT <br /> FOR SE�VER CONNECTION VARIANCE <br /> .,,�/ ��.���, 7 c�:a�a a 7 <br /> 'A'�f L�_/l�lri, (,;f�,�`�C�` i---�"�i� <br /> �`� <br /> � �f� �-'� J�1 .��� 4 c�� <br /> .. �,;�'-�v�� <br /> ,l �, � � u ,� <br /> � O��VNER <br /> '•.� <br /> STATE OF WASHINGT'ON ) <br /> :SS. <br /> County of Snohomish ) <br /> On this LC'� +hof m C� �(�� 20 � � , before my personally <br /> appeared ���n�C�,(1 t. �.��(�� �• ,.��..�"�r��t(, �17c�`� ►�� to me to Ue 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 /> IIN WITNESS WI-IEREOF, I have hereunto set my hand and affixed my official seal, the day and <br /> year first above written. <br /> Dated: `� � ��--��' I � � <br /> Signature of � <br /> Notary Public Notary Public: �'� `� <br /> Statc of Wa�hin�;t��n <br /> Eva M. Jonnson rv�1 <br /> MY COMMISSION EXPIRES Notary(print name) ���� �1 � '��'1����L;� <br /> November 15, 2019 <br /> Residing at i.--���� � <br /> My appointment expires: �� � ��" 1C� <br /> HoldHarmlessSewer2012-mm <br /> ' �/�� , <br /> � <br />
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