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DATED this day of , 20 <br />OWNER: KITTITAS COUNTY dba Kittitas County Regional Airport -Bowers Field, <br />a Washington municipal corporation <br />By: <br />(name) <br />Printed <br />Name: <br />Its: <br />(title) <br />STATE OF WASHINGTON ) <br />) SS <br />COUNTY OF ) <br />On this day of , 20 , before me, the undersigned, a Notary Public <br />in and for the State of Washington, duly commissioned and sworn, personally appeared <br />to me known to be the person(s) who signed <br />as of KITTITAS COUNTY dba Kittitas County <br />Regional Airport -Bowers Field, a Washington municipal corporation, the municipal corporation that executed the <br />within and foregoing instrument, and acknowledged said instrument to be his/her/their free and voluntary act and deed <br />and the free and voluntary act and deed of said municipal corporation for the uses and purposes therein mentioned; <br />and on oath stated that he/she/they was authorized to execute the said instrument on behalf of said municipal <br />corporation. <br />IN WITNESS WHEREOF I have hereunto set my hand and official seal the day and year first above written. <br />(Signature of Notary) <br />(Print or stamp name of Notary) <br />NOTARY PUBLIC in and for the State of Washington, residing <br />at <br />My Appointment Expires: <br />Notary seal, text and all notations must be inside 1" margins <br />PSE Easement 2021 <br />WO 105106557 / RW-136897 <br />Page 3 of 4 <br />