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Easement Form Individualn n n F T37 EASEMENT TO WHOM IT MAY CONCERN: KNOW ALL MEN BY THESE PRESENTS, that , for and in consideration of the sum of One Dollar ($1.00) and other valuable considerations to in hand paid by The Metropolitan St. Louis Sewer District, the receipt of which is hereby acknowledged, do(es) hereby give, grant, extend, and confer on The Metropolitan St. Louis Sewer District the exclusive right to build and maintain a sewer or sewers, including stormwater improvements, on the strip or strips of ground described as shown hachured on the attached "Easement Plat" marked Exhibit "A" and made a part hereof, and to use such additional space adjacent to the easement(s) so granted as may be required for working room during the construction, reconstruction, maintenance, or repair of the aforementioned sewer or sewers, including stormwater improvements. The Metropolitan St. Louis Sewer District may from time to time enter upon said premises to construct, reconstruct, replace, maintain, or repair the aforesaid sewer or sewers, including stormwater improvements, and may assign its rights herein to the State, County, City, or other political subdivisions of the State. The easement(s) hereby granted is(are) irrevocable and shall continue forever. IN WITNESS WHEREOF, the above named grantor(s) has(ve) signed these presents this day of , 20 STATE OF MISSOURI ) SS. COUNTY OF ST. LOUIS On this day of , 20 , before me personally appeared , to me known to be the person(s) described in and who executed the foregoing instrument, and acknowledged that executed the same as free act and deed. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my notarial seal, the day and year first above written. My Commission expires MSD/ENG. 3.11 — Ind - Standard Esmt Notary Public n n n ezEin n n n n