Fill and Sign the This Indenture Made and Entered into This Form

1 EASEMENT THIS INDENTURE, made and entered into this day of , 20 , by and between , party of the First Part, and the , the Party of the Second Part, WITNESSETH:That for and in consideration of the sum of , and other good and valuable considerations, in hand paid, the receipt whereof is hereby acknowledged, Party of the First Part does by these presents, hereby bargain, sell, convey, transfer, and grant unto the Party of the Second Part a perpetual right-of-way easement for construction, access, and maintenance of the sanitary sewer main located on the real property hereinafter described. The property is located at and more fully described as follows: _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________It is understood and agreed that the following covenants and conditions attach and pertain to the foregoing grant of easement:1. For the protection of said easement, Party of the First Part shall not make or construct any building or other permanent improvement upon the land covered by this easement and said land shall be kept free of any such permanent improvement that would impair the operation and maintenance of the sanitary sewer main. 2. The property covered by the easement hereinbefore granted may not be used for construction or maintenance of other public utilities unless granted by the Party of the First Part. 3. This grant of easement shall run with the land and shall be binding upon and shall inure to the benefit of the City of , Montana, its successors and assigns, only to the extent that described property is utilized for use of a sanitary sewer main. 4. The terms and conditions of this agreement with respect to the size and location of the easement can be modified by the mutual consent of both parties. 5. If Party of the Second Part disturbs the ground surface within the easement during maintenance or repair of said sanitary sewer main, said Party shall restore ground surface to original condition or better as part of their work. 2IN WITNESS WHEREOF, the Parties of the First Part do hereunto affix their signature this day of , 20 . STATE OF MONTANA ) :ss County of )On this day of , 20 before me a Notary Public in and for the State of Montana, personally appeared , known to me to be and whose name is subscribed to the instrument within and he acknowledged the same to me. NOTARY PUBLIC, State of Residing at , MontanaMy Commission Expires CITY OF City Manager City ClerkSTATE OF MONTANA ):ssCounty of )On this day of , 20 before me a Notary Public in and for the State of Montana, personally appeared known to me to be of the City of , Montana, are the persons whose name is subscribed to the instrument within and they acknowledged the same to me. NOTARY PUBLIC, 3State of MontanaResiding at , MontanaMy Commission Expires APPROVED AS TO FORM: CITY ATTORNEY, CITY OF