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DECLARAI'ION OF OWNERSHIP <br />Know all men by these presenu: <br />That I/we, the undersigned, depo;e and state that I/we are the o�,vner/o�vners of <br />land described by this declaration; and do hereby declare tha[ 1/we have no <br />objections to the proposed land use action and that tnere are no other <br />person/persons huving an interest in this property. <br />(Legal description property) <br />Dated this (�____ day oP� --' 19 �S <br />ST�TE OF WASHINGTON ) <br />)ss. <br />COUNTY OF SNOHOMISH ) <br />On this � day of _�_, before me, the undersigned, <br />a Notary Public in and r,h St e o 14'ashington, duly commissioned and sworn, <br />personally appeared r,�,t{� �Q,u„�_ to me known to b� the <br />individual described in an w o execute t e oregoing instru m ent and who <br />acimo�.vledged to me that he signed and sealed the sa m e as his free and voluntary <br />act and deed for the uses and purposes therein mentioned. <br />!n witness whereof I have set my hand and affixed m,y official seal the day <br />and year first above written. ,� , �`_ <br />Washington, residing at <br />� <br />