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Snohom�h County � <br /> R,bic Waoords oisdoaie <br /> Fam 2 <br /> DECLARA710N TO RELEASE LIST OF INDMDUALS <br /> STATE OF WASHINGTON) <br /> SS <br /> COUNTY QF SNOHOMISH) <br /> N�rn�ofR�qusstx. J. Charley Schalliol <br /> ��: 52020 Brendon Hills Drive, Granger, IN 46530 <br /> On ooM srys: <br /> 1. I haw rsquefted aaeu to,or capMs of,th�fdlowfny pubNc ncwdt whfch Mdud��isl of InAividuNt: <br /> PareN NumMr. 0196980 <br /> Radlus dstane�: 150 feet <br /> OMK. _ <br /> 2. 1 urd�raland thN RCW 42.58.070(9)prohlWb arry pubNc ay�ncy hom 9�9,s�9 a Pro�9�u <br /> to lisb of indviduab for eortimerdal Purpo�es• <br /> 3. I und�nt�nd lh�t'commerci�l purpous'm�ana that ths Ral wi1 D�uud for tM PurPoaa of facilifatl�Q <br /> profit+xpwtin9 activilN• <br /> 4. I undanbnd thst the usa ot aaid racords tor cort�»rda�purpos�s m�Y wbj�d me to IlrbWty. <br /> 5. Nob: PNa�s cro»oul a�Mr a or b below�whichwer do�s not�ppy: <br /> a. I will rro1 us�,and,I wiN prewnt oM�n from usiny,taW noads for oamiardal MuD��• <br /> b. Th�Ntt of ind(viduds I rpuat i�for eommudal purposaa,but ib infp�tion�nd oopyinp it <br /> speciltcaNy wlhorWd by law.(W�ntlN wch lavr. 1 <br /> I dwiaro under penally oi perjury u�er tha laws oi lh�Shta oi Wuhinpton N�t th�bnpoiny��Mie end corrocL <br /> D�: 5-2-2011 ( at Ev�rell (dh�8 slah) <br /> Signahin: • <br /> Rsque� <br /> PrintedName: J. Charley Schalliol <br /> 5/7C1011 Pap�1 d 7 Fam�OW�MIm b R�MM��tle R�.Ax <br />