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Flood Agreement No. G1300118 between the <br />Washington State Department of Ecology and the <br />King County Flood Control Zone District <br />Project: Briscoe / Desimone Levee Improvements <br />In witness whereof, the City of has executed this document this day of <br />20 , at (city), Washington. <br />CITY OF <br />Signature, Authorized Official <br />Print Name of Authorized Official <br />Title of Authorized Official <br />STATE OF WASHINGTON ) <br />) ss. <br />COUNTY OF KING ) <br />I certify that I know or have satisfactory evidence that (name) is the person <br />who appeared before me, and said person acknowledged that she signed this instrument, on oath <br />stated that she was authorized to execute the instrument and acknowledged it as the Mayor of the <br />City of to be the free and voluntary act of such party for the uses and purposes <br />mentioned in the instrument. <br />Dated: <br />-Notary Seal Must Appear Within This Box- <br />IN WITNESS WHEREOF, I have hereunto set my hand and official seal the <br />day and year first above written. <br />(Signature) <br />NOTARY PUBLIC, in and for the State <br />of Washington, residing at <br />My appointment expires <br />Page 22 of 24 <br />