(Referred from LMC 15.10.260(B))
STATE OF WASHINGTON
COUNTY OF THURSTON
This is to certify that on this __________ day of _______________, 20 ____, before me, the undersigned, a Notary Public, personally appeared ____________________, to me known to be the person who executed the foregoing dedication and acknowledged to me that ____________________ signed and sealed the same as _______________ free and voluntary act and deed for the uses and purposes therein mentioned.
Witness my hand and official seal the day and year first above-written.
NOTARY PUBLIC in and for
(S E A L)
the State of Washington,
residing at ____________________
My commission expires: