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:G 191. JUL 12 M 9 19 <br /> HENRY B.V'HALGM,AUDITOR <br /> SII��OHOMISSH..��COUNTY.1';ASN. <br /> 1 <br /> G.e1IQy1_ DECLARATION OF OWNERSHIP <br /> SHORT PLAT <br /> Know all men by these presents: <br /> That I/we, the undersigned, Depose ana state that I/we are the 1 <br /> " owner/ownars of land described by this declaration; and do hereby <br /> declare that I/we have no objections to the herein described division <br /> of land being subdivided and that there aro no other person/persons 1 <br /> . having an interest in this property. <br /> !(Legal description property) I <br /> '.'Lot 18 Leverly Homesites Div 1. Vol 10# Pg. 74, Roc. of Sno. Co. + <br /> I <br /> Dated this -9 day of _ //{'lQ�LL , 19� <br /> r - <br /> . '.,STATE OF WASHINGTON) <br /> COU%TY OF f-9QHQ"Z") 1 <br /> / 1 . <br /> On thio _q_ day of _ , before me, the <br /> undersigned, a Notary Public irg and for the State of Washin ton, duly i <br /> commissioned and sworn, personally appeared 'A" 4Lf- <br /> to me known to be the individual described in and who executed he <br /> foregoing instrument and who acknowledged to me that he signed and �.. <br /> sealed the same as his free and voluntary act and deed for the uses 1 <br /> and purposes therein mentioned. <br /> In witness whereof I have set my hand and affixed my official <br /> seal the day and year first Abo••e written. 1 <br /> Notary Public it, and for th S <br /> gat <br /> • ///���••"' of Washington, reaid:ng at�t�, <br /> , <br /> .:•�' ����120161 <br />