This is not a printable form. A copy
of this form must be picked up at the Administrative Office.
In
consideration of one dollar ($1.00) and other good and valuable consideration
paid to __________ and _______________ (“GRANTORS”), by Western
Water Company, (“COMPANY”), receipt of which is hereby acknowledged,
GRANTORS do hereby grant, bargain, sell, transfer and convey to the COMPANY,
its successor and assigns, a perpetual easement, with the right to erect,
construct, install, and lay, and thereafter use, operate, inspect, repair,
maintain, replace, and remove water mains, service lines, hydrants, meters,
taps , valves, controls, accessories and appurtenances, over, across, and
through the land of GRANTORS situated in _____ County, State of Ohio, at
_______ (Street Address) and being described as follows:
(Attach a copy of your deed as Exhibit A, which is incorporated herein
by this reference.)
Together with the right of ingress and egress over the adjacent lands
of the GRANTORS, their successors and assigns, for the purposes of this
easement.
The permanent easement hereby granted shall be twenty (20) feet in width,
being ten (10) feet on each side of and parallel with the centerline of
the initial water line as finally laid and constructed across the lands
of the GRANTORS.
GRANTORS, for themselves, their heirs, devisees, successors and assigns,
will warrant and defend the grants and easements herein granted to COMPANY,
its successors and assigns forever, against all lawful claims and demands.
This grant and easement shall at all times be deemed to be, and shall
be a continuing covenant running with the land, and shall be binding upon
and in favor of the successors and assigns of the COMPANY.
IN WITNESS WHEREOF, the GRANTORS have executed this instrument this _________
day of _________ 19 __.
Witness: _____________________ Husband: ___________________
Witness: _____________________ Wife: ______________________
STATE OF OHIO, COUNTY OF ________________________, ss
On this _________ day of ___________, 19 , before me, the subscriber,
a Notary Public, in and for said County, personally came _______________________
the Grantors in the foregoing instrument, and acknowledged the signing
thereof to be their voluntary act and deed.
IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed my
seal on the day and year last aforesaid.
Notary Public ______________
This instrument prepared by Shelby V. Hutchins, Attorney at Law, 61 N.
Sandusky St., Delaware, OH 43015
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