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DOCUMENT TITLE <br />RESOLUTION <br />REFERENCE NUMBERS (S) OF RELATED DOCUMENTS <br />GRANTOR (S) (Last, First and Middle Initial) <br />JEFFERSON COUNTY <br />GRANTEE (S) (Last, First and Middle Initial) <br />HANS JORGENSON & JORGENSON TIMBER LLC <br />Additional Reference #'s on page <br />Additional grantor on page <br />Additional grantee on page <br />LEGAL DESCRIPTION (Abbreviated i.e. lot,block,plat or section,township,range) <br />NW1 /4 SW1 /4 Section 14, Township 25 North, Range 2 West W.M. <br />Additional legal on page <br />ASSESSOR'S PROPERTY TAX PARCEL /ACCOUNT NUMBER <br />APN 502143004 <br />Additional parcel #'s on page <br />The Auditor /Recorder will rely on the information provided on this form. The staff will not read the document to verify <br />the accuracy or completeness of the indexing information provided herein. <br />EMERGENCY NONSTANDARD REQUEST — SIGN ONLY WHEN RECORDING AS NONSTANDARD <br />I am requesting an emergency nonstandard recording for an additional fee of $50.00 as provided in RCW 36.18.010. 1 understand <br />that the recording processing requirements may cover up or othemise obscure some part of the text of the original document. <br />Signature <br />Date <br />583465 PGS :2 RESO <br />04/3012014 03:46 PM $73.00 JEFFERSON COUNTY PUBLIC WORKS <br />WA Auditor's OffiiceY- Donna Eldridge, Auditor <br />Jeffeerlson1■1 <br />I.County <br />NAME & RETURN ADDRESS <br />Jefferson County Department of Public Works <br />623 Sheridan Street <br />Port Townsend WA 98368 <br />DOCUMENT TITLE <br />RESOLUTION <br />REFERENCE NUMBERS (S) OF RELATED DOCUMENTS <br />GRANTOR (S) (Last, First and Middle Initial) <br />JEFFERSON COUNTY <br />GRANTEE (S) (Last, First and Middle Initial) <br />HANS JORGENSON & JORGENSON TIMBER LLC <br />Additional Reference #'s on page <br />Additional grantor on page <br />Additional grantee on page <br />LEGAL DESCRIPTION (Abbreviated i.e. lot,block,plat or section,township,range) <br />NW1 /4 SW1 /4 Section 14, Township 25 North, Range 2 West W.M. <br />Additional legal on page <br />ASSESSOR'S PROPERTY TAX PARCEL /ACCOUNT NUMBER <br />APN 502143004 <br />Additional parcel #'s on page <br />The Auditor /Recorder will rely on the information provided on this form. The staff will not read the document to verify <br />the accuracy or completeness of the indexing information provided herein. <br />EMERGENCY NONSTANDARD REQUEST — SIGN ONLY WHEN RECORDING AS NONSTANDARD <br />I am requesting an emergency nonstandard recording for an additional fee of $50.00 as provided in RCW 36.18.010. 1 understand <br />that the recording processing requirements may cover up or othemise obscure some part of the text of the original document. <br />Signature <br />Date <br />