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, <br /> . - . . <br /> ' "� FOT:n4 G <br /> . , , � , � _ "� �� <br /> - CITP Ol� FV]sRL.T'f <br /> Snoho�nish Cowity, 1Vasl�ingCun <br /> UNSAL'E }�UILDINGS RFL'�R�NCL' NO. 7U—� —2� <br /> I <br /> S'i'ATE OF \YASI-]IiQGTON ) SS � <br /> COUNTl Or SIVOIIO1��iISfi ) . A.I'rIll11VI'T Or 57�22VICE <br /> . � <br /> The undersigncd, beu�g first duly stvorn on oalh� deposes and says: <br /> 1e That in and during all timcs �1CYC377 7]1CI1L1011CCj� affiant �vas and now . <br /> is ovcr the age of L�venty-one years, a citizen of thc Uni.ted States, a residc:nt <br /> of the Sla[e of �'1�ashingtou and competenl to be a witncss �1C1'C1Re <br /> 2, Tha4 affiant served •a full, truc, correct dyplicate original copy <br /> of the followi.ng descriUed docuinent: (Gross out inapplicaUle notices) <br /> (a) NOTIGI. UF UNSAl�'I? gUILDII�TG(S} <br /> . - �•...,.n .�,r��t r�r� nr1r1 n nTr� <br /> � <br /> . � <br /> � <br /> �C} <br /> A copy of ���l�ich is allacLed herefo and Uy this reference <br /> madc a part hcrc.in as though set forth in f�.ill hcrcin <br /> upon cach of thc follo�ving lact kno�vn o�vncr(o) 'of <br /> record of the building(s)� or structurc(s)� or portion(s) <br /> thercof describcd in said document Uy thc manner set <br /> forth hereinlfler: <br /> (a) PI�RSONAL ST'P.VICE: <br /> . 13y dclivcrine a�id leavi�ig sai.d copy �vif]i said o�vn:r(s) <br /> at ihe place and timc set forth hcreinbelow: <br /> Owner ATame ' Address Scr��ed • llate Served <br /> , <br />