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CITY CLERK
aVIC CENTER
EDMONDS, WA 98020
This is to certify that the properties as shown on the attached map (Exhibit "A") and
described as follows:
See Exhibit "B"
have been divided under the provisions of the Edmonds Subdivision Ordinance (Sec.12.10)
File No. S-21-87 subject to the following conditions and requirements:
1. Exhibit "C" Hold Harmless Agreement
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I/we certify that I/we are the legal owner(s) of the property described above. I/we
warrant that all representations are true and correct and understand that in the event
of any misrepresentation or failure to comply with 'the conditions and regulations set
forth herein, the City of Edmonds shall have the right to declare the subdivision void
and record a statement to that effect in
the Snohomish County Auditor.
AUTHORIZED
S
FOR
RECORDING
CITY OF EDMONDS
By ldl��'
Page Z - Of
DATED this /(:� &X) day of Nzt-'ta' ------�q e7
STATE OF WASHINGTONJ ss:
COUNTY O�
On this day personally appeared before m
anc( bA-,"- Of6Z:k�C16
to �meelkn-%��w6n' to be the individuals described
in pnd-.-,who executed the within and foregoing instrument, and acknowledged that
:s2-,g-'q'66-ti44qe as free and voluntary act and deedi for the uses and purposes
�t e r e ia d
Gi-ven--un-det - , jn� hand and official seal this /6 -day of
9
2 0 9 6PA6E 2174
No ary Public i_r nd for the State of Washington
I an
'870928U residing at -
MY ( COMMISSION EXPIRES V16�89-
EXHIBIT "C"
CITY CLERK
CIVIC C ENT E R
EDMONDS, WA 98020
FILE 140. S-21-87
"X
Owners, and all persons having aiiy present or subsequent
ownership interest in these lands, and the successors and
assigns of owners or other parties having any said interest,
hereby agree that the City of Edmonds shall be held harmless
in all respects from any and all Claims for damages for in-
junctive relief which may be occasioned ' now or in the future
to adjacent land or improvements by reason of the construction,
operation and maintenance of the drainaccr
,e system and hereby
waive and release the City of Edmonds from any and all claims
for damages, excluding damage caused solely by an act or
omission of said City and injunctive relief which the owners,
or their successors or assigns, may themselves have now or in
the future by reason of the construction, maintenance and
operation of said drainage system.
F� ,
AUTHORIZED
FOR
RECORDING
CITY OF EDMONDS
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CITY OF EDMONDS
P.W. DEPT. ENGINEERING DIV.
EXAMINLU
BY '"166-1- DATE_f_-IW
REMARKS
SURVEYOR'S CERTIFICATE
This map correctly represents a s 4:r y e y
t:. ion -i
made by me' or -under m y' dire t n'
conformance with the requirements of
the $4,&.vey Rec� "ring Act
certificate no. 17679
D. R
WAS �9,
Scale; 1 40'
17&79
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70928014 0 VOL, 209 OPAGE�