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; <br />.�. ,.� <br />DECLA�ATION OF �WNERSHIP <br />Kncw all men by these presenu: <br />That I/we, the wdersigned, depos� and state that i/we are the owner/owners oi <br />land descrilxd by this declarati�n; and do hereby decla; c that I/we have no <br />objections to the �oposed land use actian and that there are no ocher <br />person/persons having an interen in t� property. <br />(Legal descripzion property) <br />Dat�ed this �� L�_ day of �. �_�c �-.—°— <br />19 � 'I . <br />-r- <br />�� % � � := - <br />� ��z��ti�� <br />%; , <br />, �. <br />= -�:-�;�� ,�, <br />. <br />STA'CE OF WASHINGTON ) <br />COUNTY OF SNOHOMISH �� <br />� � '°2 S �y °t �C`�'�`�`L � ��� �� betore me, the undcrsignad, <br />a N°�ary Pub c1lTin and for tte�taLe oi Washington,—duly commis�ioned and sworn, <br />�a�Y �Ppeared �nlo IA/lGG///q�s o��� G1<<�� a u/��C/�,c9Sto me {mown to be the <br />individual desczibed � ti� o axecut xegang instr�me•nt and who <br />admc�w+ledsad to me that hr si� and sealed the iame as hLa free and voluntary <br />act L�d dead for tha usa aind purpcy�es therein rtxntloned. <br />In witne.v whv�of [ have set my hand and affixed my official seai the day <br />and ye:;u !irst above �ritten. <br />-�/�. <br />� j%l/ " / � � - <br />� i �- `��,�`" - <br />tary b c in an or e e of <br />Wuhingtnn, residing at�l� ��� c'�/1.;<<�, <br />