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� ' � � � � FO1ZM G <br /> . -i _ � <br /> � - CITl Ol� EVl'sRLTT • <br /> 5nohomi::h Comriy> �Yasl�ington <br /> UN:iAFIs' ]3UIi.DINGS �tFJ'F}2)�NCT? NO. �d =�, — lL� <br /> ST/�7'T' O}� 1YASHING'PON ) • . <br /> COUNTl�OF SNO]]ON,IS]1 ) SS . �.1'FTllA,VIT OI' SF_RVICL: . <br /> � <br /> T �c undcrsigaed, .bcing first duly c�vorn on oath� dcposes and says: <br /> 1 1'hal in and during all ti�nes herciii meniioned, affiant was and no�v <br /> is over tl�e age of Lwenty-onc years, a citizen of the UniYed Slatec, a resident <br /> of thc St}tc of 1���1SI]111bL011 $il(� compctent to bc a witness hcrcine <br /> . 2.I 1'h1t affiant served a full� true, corrcct duplicate ori�inal copy' <br /> of ihe follo��•i»g desci•iUed document: (Cr_ ..s oiit inapplicable noCices) _ <br /> � �-r;--I'�-.,�,a�+>r�:�-rat�-t-mvtrt-r�i��3+rr�-r:.r,T�`�tF�i , .. . . <br /> � (b) NOTiC): Ol� Y131CSP:N7'A7'IUN 07� }.3U1L7�NG <br /> . OFFICJAL RF..QU]?S'1' TO CI'1'Y Gull\'CI'.. }.�O1Z <br /> • AN O1tllL1: • <br /> Y�1:lJi�F. <br /> A copy of �vhich is allBC�lOC� Il�'I•!'l0 and by lhis rcfcrcncc <br /> � madc a part hcr.:in ar• iho igh sM forU� in full hcrcin <br /> upon e.ich of lhc follo�•��ing lasi known o�vr.cr`s) 'of <br /> record of ihc building(s}, or struGure�s�, or portion(s) <br /> thcreof described in said documcnt Uy t7�e :;�<<r.nc� set <br /> fortl� hcrcintiftcr: • <br /> (a) 1'ERSONAL S]?1:V1C}� • <br /> , }3y delivcrin� and lca��inj; sai.d copy �vitl� :;aid owncr(s) .. <br /> at tl�c plc�cc and timc sct forih ]�crcinbclo�v: <br /> Owncr Namc � Address Scrvcd I�atc Scrvcd • <br />