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DECLAR.ATIQN OF OWNERSHIP <br />Know all men by these presents: <br />That I/we, the undersigned, depose and state that 1/we are the owner/owners of <br />land described by this declaration; and do hereby declare that 1/we have no <br />objections to the proposed land use action and that there are no other <br />person/persons having an interest in this prope;ty. <br />(Legal description property) <br />�ated this ��� day oS' , 19 �..3 , <br />�- �-� � ��� <br />S"CATE OF WASHINGTON ) <br />)ss. <br />COUNTY OF SNOHOMISH ) <br />On this �Q� day of , before me, the undersigned, <br />a Notary Public �n and for the State f Washington, duly commissioned and swoen, <br />personally appeared �`�(Ji(/ /% �!�/G� to me known to be the <br />individual describedin a�nd w� execute�—tFie oregoing instrument and who <br />acknowledged to me that he signed and sealed the same a5 his free and voluntary <br />act and deed for the uses and purposes therein mentioned. <br />In wi�r�ess whereof I have set my hand and affixed mY official seal the day <br />and year first abnve written. <br />