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Utility Easement - CorporateUTILITY EASEMENT (CORPORATE FORM) THIS INDENTURE, made this _____ day of __________ , 2012, between , hereinafter called the GRANTOR, and the CITY OF YELM, a Municipal Corporation, hereinafter called the GRANTEE, WITNESSETH: For valuable consideration, receipt of which is hereby acknowledged, the Grantor hereby grants and conveys to the Grantee, its successors and assigns, A PERPETUAL EASEMENT FOR water and sewer utilites, over, under, upon and through a portion of that certain real property situate and being in the County of Thurston, State of Washington, more particularly described as follows, TO WIT: PARCEL: 19-17-2E .93 A SE SW COM SE COSR N 207 F NWLY ON YELM AVE 197 F P LESS ROW SR507 JCT SR510 TO BALD HILLS RD VIC PERMANENT EASEMENT: Said portion of the above-described parcel being described as follows: 19-17-2E .93 A SE SW COM SE COSR N 207 F NWLY ON YELM AVE 197 F P LESS ROW SR507 JCT SR510 TO BALD HILLS RD VIC TOGETHER WITH the right to enter upon, over and along said real property hereinbefore described, from time to time, to construct, inspect, repair, alter, modify, replace, remove, and update to present and future technological standards, said water and sewer utilities. The Grantor shall not place or construct a building or other structure on the easement right-of-way. CONSTRUCTION EASEMENT: N/A The permanent rights herein granted to the Grantee shall continue in force until such time as the Grantee, its successors or assigns, shall permanently abandon the same and upon such removal or abandonment, all rights hereby granted shall terminate. IN WITNESS WHEREOF, this instrument has been executed the day and year first above-written. (CORPORATE NAME) BY ___________________________ BY ___________________________ (Signature) (Signature) ITS ___________________________ ITS ___________________________ (Title) (Title) STATE OF WASHINGTON ) ) ss COUNTY OF ) I certify that I know or have satisfactory evidence that is the person who appeared before me, and said person acknowledged that (he/she) signed this instrument and acknowledged it as the of to be the free and voluntary act of such party for the uses and purposes mentioned in the instrument. WITNESS my hand and official seal this day of 2012. Notary Public in and for the State of Washington, residing at My commission expires: Accepted by the City of Yelm, Washington. this ________ day of _______________, 20____. BY: ___________________________ Director of Public Works STATE OF WASHINGTON ) ) ss COUNTY OF THURSTON ) On this day and year above, personally appeared before me Tim Peterson, to me known to be the Public Works Director of City of Yelm, a Municipal Corporation, who executed the foregoing instrument and acknowledged the said instrument to be the free and voluntary act and deed of said Municipal Corporation for the uses and purposes therein mentioned and on oath states he is authorized to execute the said instrument. Given under my hand and seal this ___ day of _________, 20____. Notary Public in and for the State of Washington, residing at My commission expires: