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PLEASE TYPE OR PRINT REAL ESTATE EXCISE TAX AFFIDAVIT This form is your receipt when stampe
PLEASE SEE REVERSE by cashier.
CHAPTER 82.45 RCW- CHAPTER 458-61 WAC
For Use at County•Treasurer's Office
(Use Form No. 84-0001B for Reporting Transfers of ContioBing Interest of Entity Ownership to the Department of Revenue)
THIS AFFIDAVIT WILL NOT BE ACCEPTED UNLESS ALL AREAS 1-7 ARE FULLY COMPLETED
mi Name ,3i3A--f.:CP.PA 0 -1C„. El Name :,-,`7,4;1—J.::::T,::,4. 7.. .
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Street P 0 C.)0 3 i)::4: 2396
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‘...7 'City/State/Zip Cl:Ce Angel('''S F 7;2.i 9 5 3 6 2 citystawzip .P Orb A ri.c
1111 ADDRESS TO SEND ALL PROPERTY TAX RELATED CORRESPONDENCE ALL TAX PARCEL NUMBERS
-,
Name
t::A4A.,,,if :ziwiii*:.8i:i:
1".A. T.;'-: "") '''i 1 - ,--- le. ---k- . :::,:i0s:.'Si:i*::::." :::IN:::::::sopr:c:5,:::::::::::::::•:,::::
`.1-*k,.!,-.., ,.,ni....., ...:,..., \-f..- .:".,'_, T ,4 ' ::::::::::-",:":::::::4 .,':::::;:X..‘::::::'
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Street f:";)2 "rI.4 1 0 I 6- , ......••,,,,,,,,,••.•••••••••••••••• •• ••' •••••,',"••••••..•• •• •••••••••••••• •
:i.qiii";MR.fif.ff::::::::::•:::X.::::::::::::::'.1-:i:`•':'::::',:: :
City/State/Zip Paingqietingalge:
LEGAL DESCRIPTION OF PROPERTY SITUATED IN li<UNINCORPORATED ':T.C''I::A:°1-7:7*-:'11COUNTY n OR IN CITY OF
Street Address (if property is improved):
S e'",.7.; A TTAC 5 . .
.
)) ' le-e- co Hed --/-6 co rre c_-- - -1-idebtods 01- --/-0 ktClec)4
,,
&)/e,k1:c;feci, L.st _R_,,q-cy v b5-- P I 80- I
EiIs this.— ;:i:-. , vArrentl . YES NO ii Description of tangible personal property if included in sale(furniture
Classified or designated as forest land? 0 r.i) appliances, etc.)
Chapter 84.33 RCW
Classified as current use land (open space, farm 0 0
and agricultural, or timber)? Chapter 84.34 RCW
Exempt from property tax as a nonprofit El [7.1 If exemption claimed, list WAC number and explanation.
orgatuzation? Chapter 84.36 RCW
Seller's Exempt Reg. No. .... WAC No. (Sec/Sub) 4 5
Receiving special valuation as historic
ID in Explanation ..S,..s..,,,i x ici;a 7.:-.: '2:,..,ilia
property? Chapter 84.26 RCW
Property Type: 0 land only 0 land with new building
land with previously used building 0 land with mobile home Type of Document .',.i;i.--
0 timber only D building only ,,- I
I
-.--.r - f . I
Date of Document i j I
Principal Use: 0 Apt. (4 + unit) C.1 residential
0 timber 0 agricultural 0 commercial/industrial ,. Gross Sale Price $
0 other Personal Property (deduct) $
i"..II (1) NOTICE OF CONTINUANCk (RCW 84.33 or RCW 84.34) Taxable Sale Price $
If the new owner(s)of land that is classified or designated as current use Excise Tax: State $
or forest land wish to continue the classification or designation of such Local $
land,the new owner(s)must sign below.If the new owner(s)do not desire Delinquent Interest: State $
to continue such classification or designation, all compensating or addi- 4- Local $
tional tax calculated pursuant to RCW 84.33.120 and 140 or RCW
84.34.108 shall be due and payable by the seller or transferor at the time Delinquent Penalty: State $
of sale.The county assessor must determine if the land transferred qualifies Total Due $ ...!:. C
to continue classification or designation and must so indicate below, THERE IS A$2.00 FEE FOR PROCESSING THIS FORM IF NO TAX IS DUE
Signatures do not necessarily mean the land will remain in classification mei
or designation. If it no longer qualifies, it will be removed and the corn- MI AFFIDAVIT
pensating taxes will be applied. All new owners must sign.
I certify under penalty of perjury under the laws of the state of
-,
This land 0 does 0 does not qualify Recxontinuance. Washington that the foregoing is true and correct(See back of this
form).
---f .,'," ,--.'9'
Date Signature of , ---::,;:, Z'' /...7_,-----1,-:"..,„
DEPUTY ASSESSOR
Grantor/Agent , ' / •...— ',0, -7,,,.•''-''..I/.:-'? ,it".,..,-;-;-,-;:,. ..-2" :
(2)NOTICE OF COMPLIANCE (Chapter 84.26 RCW)
Name (print) 7:- '-I;2:-':; :',. ,,-- ,,, .,.,.
If the new owner(s)of property with special valuation as historic property
wish to continue this special valuation the new owne.r(s).must sign below. Date et Place of Signing 1 - 1 1 f;•' 1 '4,`:::'
If the new owner(s)do not desire to continue such special valuation, all
additional tax calculated pursuant to Chapter 84.26 RCW, shall be due Signature of •,...;/,/,' ,,,,,,'''
and navable by the seller or transferor at the time of sale. ri....--a-_t A-.:.-A%.," .,'" Air ,A , ,..,',"„P .,- - ,:;;`,"..,-::17.,,,:',-;r1, /-
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EXHIBIT B
o°
7� AFTEFTAPENT
THAT PORTION OF THE BURNS DONATION LAND CLAIM NO. 38 AND THE TUKEY DONATION
LAND CLAIM NO. 39 IN SECTION 24, TOWNSHIP 29 NORTH, RANGE 2 WEST, W.M.,
JEFFERSON COUNTY, WASHINGTON, DESCRIBED AS FOLLOWS:
BEGINNING AT THE NORTHEAST CORNER OF SAID BURNS DONATION LAND CLAIM PER
COURT CAUSE NO. 9756, RECORDS OF JEFFERSON COUNTY, WASHINGTON, BEING THE
NORTHWEST CORNER OF SAID TUKEY DONATION LAND CLAIM;
THENCE SOUTH 00° 24' 03"WEST ALONG THE EAST LINE OF SAID BURNS DONATION LAND
CLAIM, AND THE WEST LINE OF SAID TUKEY DONATION LAND CLAIM, A DISTANCE OF 200.54
FEET TO THE SOUTHERLY MARGIN OF COUNTY ROAD NO. 5032, KNOWN AS FAIRMONT
ROAD;
THENCE SOUTH 70° 17' 24" EAST ALONG SAID SOUTH MARGIN, A DISTANCE OF 44.69 FEET
TO THE TRUE POINT OF BEGINNING;
THENCE SOUTH 70° 17' 24" EAST, A DISTANCE OF 172.98 FEET;
THENCE SOUTH 00°24' 03"WEST, A DISTANCE OF 196.30 FEET;
THENCE NORTH 80° 19' 29"WEST, A DISTANCE OF 208.15 FEET TO THE WEST LINE OF SAID
TUKEY DONATION LAND CLAIM AND THE EAST LINE OF SAID BURNS DONATION LAND
CLAIM;
THENCE IN SAID BURNS DONATION LAND CLAIM NORTH 80° 19' 29"WEST, A DISTANCE OF
142.67 FEET;
THENCE NORTH 01°24' 42" EAST, A DISTANCE OF 50.52 FEET;
THENCE SOUTH 80° 19'29" EAST, A DISTANCE OF 141.77 FEET TO THE EAST LINE OF SAID
BURNS DONATION LAND CLAIM AND THE WEST LINE OF SAID TUKEY DONATION LAND
CLAIM;
THENCE IN SAID TUKEY DONATION LAND CLAIM, SOUTH 80° 19' 29"WEST, A DISTANCE OF
42.74 FEET;
THENCE NORTH 00° 24' 03" EAST, A DISTANCE OF 176.17 FEET TO THE TRUE POINT OF
BEGINNING.
13
BEGINNING AT THE NORTHEAST CORNER OF SAID BURNS DONATION LAND CLAIM PER
COURT CAUSE NO. 9756, RECORDS OF JEFFERSON COUNTY, WASHINGTON, BEING THE
NORTHEAST CORNER OF SAID TUKEY DONATION LAND CLAIM;
THENCE SOUTH 00°24' 03"WEST ALONG THE EAST LINE OF SAID BURNS DONATION LAND
CLAIM, AND THE WEST LINE OF SAID TUKEY DONATION LAND CLAIM, A DISTANCE OF 200.54
FEET TO THE SOUTHERLY MARGIN OF COUNTY ROAD NO. 5032, KNOWN AS FAIRMONT
ROAD AND THE TRUE POINT OF BEGINNING;
THENCE IN THE BURNS DONATION LAND CLAIM NORTH 70° 17' 24"WEST ALONG SAID
SOUTHERLY RIGHT OF WAY MARGIN, A DISTANCE OF 52.11 FEET;
THENCE ON A 1,628.43 FOOT RADIUS CURVE RIGHT THROUGH A CENTRAL ANGLE OF 02° 50'
57",AN ARC LENGTH OF 80.98 FEET;
THENCE NORTH 67°26'27"WEST, A DISTANCE OF 8.32 FEET;
THENCE ON A 932.72 FOOT RADIUS CURVE LEFT, A DISTANCE OF 3.85 FEET;
THENCE LEAVING SAID SOUTHERLY MARGIN SOUTH 01°24' 42" WEST, A DISTANCE OF
211.74 FEET;
THENCE SOUTH 80° 19'29" EAST, A DISTANCE OF 141.77 FEET TO THE EAST LINE OF SAID
BURNS DONATION LAND CLAIM, AND THE WEST LINE OF SAID TUKEY DONATION LAND
CLAIM;
THENCE IN SAID TUKEY DONATION LAND CLAIM SOUTH 80° 19'29" EAST, A DISTANCE OF
42.74 FEET;
THENCE NORTH 00°24' 03" EAST, A DISTANCE OF 176.17 FEET TO THE SOUTHERLY MARGIN
OF SAID RIGHT OF WAY;
THENCE NORTH 70° 17'24"WEST, A DISTANCE OF 44.69 FEET TO THE TRUE POINT OF
BEGINNING.
12
•
•
EXHIBIT B
Cb \°` P RCEL C
/� `b-� 00
THAT ENT
THAT PORTION OF THE BURNS DONATION LAND CLAIM NO. 38 IN SECTION 24, TOWNSHIP 29
NORTH, RANGE 2 WEST, W.M., JEFFERSON COUNTY, WASHINGTON, DESCRIBED AS
FOLLOWS:
BEGINNING AT THE NORTHEAST CORNER OF SAID BURNS DONATION LAND CLAIM;
THENCE SOUTH 00°24' 03"WEST ALONG THE EAST LINE OF SAID BURNS DONATION LAND
CLAIM, A DISTANCE OF 102.67 FEET TO THE TRUE POINT OF BEGINNING;
THENCE CONTINUING SOUTH 00°24' 03"WEST ALONG SAID EAST LINE, A DISTANCE OF
14.13 FEET;
THENCE SOUTH 86° 32' 02"WEST, A DISTANCE OF 95.92 FEET TO THE NORTH MARGIN OF
COUNTY ROAD NO. 5032 KNOWN AS FAIRMONT ROAD;
THENCE ON A 1,588.43 FOOT RADIUS CURVE CONCAVE NORTHERLY,THE CENTER OF
WHICH BEARS NORTH 22°00' 37" EAST, THROUGH A CENTRAL ANGLE OF 00° 32' 56", AN ARC
LENGTH OF 15.21 FEET;
THENCE NORTH 67°26' 27"WEST, A DISTANCE OF 8.32 FEET;
THENCE ON A 972.72 FOOT RADIUS CURVE, CONCAVE SOUTHERLY, THROUGH A CENTRAL
ANGLE OF 12° 52' 02", AN ARC LENGTH OF 218.45 FEET;
THENCE ON A 1,340.00 FOOT RADIUS CURVE CONCAVE SOUTHERLY THROUGH A CENTRAL
ANGLE OF 01°42' 08", AN ARC LENGTH OF 39.81 FEET;
THENCE LEAVING SAID NORTHERLY RIGHT OF WAY MARGIN NORTH 37° 01' 04" EAST, A
DISTANCE OF 12.99 FEET;
THENCE ON A 1,610.69 FOOT RADIUS CURVE CONCAVE SOUTHERLY, THE CENTER OF
WHICH BEARS SOUTH 03°56' 35"WEST, THROUGH A CENTRAL ANGLE OF 12° 59' 47", LYING
55.00 SOUTHERLY OF AND PARALLEL WITH THE CENTERLINE OF THE ABANDONED
RAILROAD RIGHT OF WAY, AN ARC LENGTH OF 365.35 FEET TO THE TRUE POINT OF
BEGINNING.
TOGETHER WITH THOSE PORTIONS THE BURNS DONATION LAND CLAIM NO. 38 AND THE
TUKEY DONATION LAND CLAIM NO. 39, ALL IN SECTION 24, TOWNSHIP 29 NORTH, RANGE 2
WEST, W.M., JEFFERSON COUNTY, WASHINGTON, DESCRIBED AS FOLLOWS:
11
EXHIBIT B
O- -9' AFT ADJU STMENT
�
THAT PORTION OF THE BURNS DONATION LAND CLAIM NO. 38 IN SECTION 24, TOWNSHIP 29
NORTH, RANGE 2 WEST, W.M., JEFFERSON COUNTY, WASHINGTON, DESCRIBED AS
FOLLOWS:
BEGINNING AT THE NORTHEAST CORNER OF SAID BURNS DONATION LAND CLAIM, BEING A
POINT ON THE BALANCED GOVERNMENT MEANDER LINE;
THENCE SOUTH 00°24' 03"WEST ALONG THE EAST LINE OF SAID BURNS DONATION LAND
CLAIM, A DISTANCE OF 102.67 FEET TO A POINT LYING 55.00 FEET SOUTHERLY FROM THE
CENTERLINE OF THE ABANDONED RAILROAD RIGHT OF WAY;
THENCE ON A 1,610.69 FOOT RADIUS CURVE CONCAVE SOUTHERLY, THE CENTER POINT
OF WHICH BEARS SOUTH 16°56'22"WEST THROUGH AN ARC LENGTH OF 365.35 FEET
PARALLEL WITH AND 55.00 FEET SOUTHERLY OF SAID RAILROAD CENTERLINE;
THENCE NORTH 37° 01'04" EAST, A DISTANCE OF 107.94 FEET;
THENCE NORTH 06° 11' 13"WEST, A DISTANCE OF 93.55 FEET TO THE ORDINARY HIGH TIDE
LINE OF DISCOVERY BAY;
THENCE ALONG SAID ORDINARY HIGH TIDE LINE SOUTH 74° 21' 58" EAST, A DISTANCE OF
33.06 FEET;
THENCE SOUTH 71° 50'28" EAST, A DISTANCE OF 29.89 FEET;
THENCE SOUTH 64°31' 03" EAST, A DISTANCE OF 10.84 FEET;
THENCE SOUTH 57° 12' 13" EAST, A DISTANCE OF 13.55 FEET;
THENCE SOUTH 47° 56' 40" EAST, A DISTANCE OF 11.22 FEET;
THENCE SOUTH 62° 46' 47" EAST, A DISTANCE OF 23.41 FEET;
THENCE CONTINUING ALONG SAID MEAN HIGH TIDE LINE SOUTH 52° 53' 56" EAST, A
DISTANCE OF 30.36 FEET TO THE BALANCED GOVERNMENT MEANDER LINE;
THENCE SOUTH 65° 54'21" EAST ALONG SAID MEANDER LINE, A DISTANCE OF 185.75 FEET
TO THE POINT OF BEGINNING.
10
THENCE NORTH 88°29' 08" EAST, A DISTANCE OF 16.30 FEET;
THENCE SOUTH 62° 31' 01" EAST, A DISTANCE OF 46.18 FEET;
THENCE SOUTH 73° 03' 55" EAST, A DISTANCE OF 55.07 FEET;
THENCE SOUTH 66° 21' 54" EAST, A DISTANCE OF 122.01 FEET;
THENCE LEAVING SAID ORDINARY HIGH TIDE LINE SOUTH 06° 11' 13" EAST, A DISTANCE OF
93.55 FEET;
THENCE SOUTH 37° 01' 04" EAST, A DISTANCE OF 120.93 FEET TO THE TRUE POINT OF
BEGINNING.
•
/' EXHIBIT B
C PARCEL A
\ AFTER ADJUSTMENT
47 THAT PORTION OF THE BURNS DONATION LAND CLAIM NO. 38 IN SECTION 24, TOWNSHIP 29
NORTH, RANGE 2 WEST, W.M., JEFFERSON COUNTY, WASHINGTON, DESCRIBED AS
FOLLOWS:
BEGINNING AT THE NORTHEAST CORNER OF SAID BURNS DONATION LAND CLAIM, BEING A
POINT ON THE BALANCED GOVERNMENT MEANDER LINE;
THENCE SOUTH 00°24' 03"WEST ALONG THE EAST LINE OF SAID BURNS DONATION LAND
CLAIM, A DISTANCE OF 116.80 FEET;
THENCE SOUTH 86° 32' 02"WEST, A DISTANCE OF 95.92 FEET TO THE NORTH MARGIN OF
COUNTY ROAD NO. 5032, KNOWN AS FAIRMONT ROAD;
THENCE ON A 1,588.43 FOOT RADIUS CURVE, CONCAVE NORTHERLY, THE CENTER OF
WHICH BEARS NORTH 22°00' 37" EAST, THROUGH A CENTRAL ANGLE OF 00°32'56", AN ARC
LENGTH OF 15.21 FEET;
THENCE NORTH 67° 26' 27"WEST, A DISTANCE OF 8.32 FEET;
THENCE ON A 972.72 FOOT RADIUS CURVE CONCAVE SOUTHERLY THROUGH A CENTRAL
ANGLE OF 12° 52' 02", AN ARC LENGTH OF 218.45 FEET;
THENCE ON A 1,340.00 FOOT RADIUS CURVE CONCAVE SOUTHERLY THROUGH A CENTRAL
ANGLE OF 01°42' 08", AN ARC LENGTH OF 39.81 FEET TO THE TRUE POINT OF BEGINNING;
THENCE CONTINUING ON SAID CURVE THROUGH A CENTRAL ANGLE OF 04° 12'42", AN ARC
LENGTH OF 98.50 FEET;
THENCE LEAVING SAID NORTH MARGIN NORTH 00° 01' 46" EAST, A DISTANCE OF 109.08
FEET TO THE NORTHERLY MARGIN OF THE ABANDONED RAILROAD RIGHT OF WAY, BEING
THE SOUTHEAST CORNER OF PUBLIC UTILITY DISTRICT NO. 1 OF CLALLAM COUNTY
(P.U.D.);
THENCE NORTH 47° 01' 29"WEST A DISTANCE OF 150.00 FEET TO THE NORTHEASTERLY
CORNER OF SAID P.U.D. PROPERTY;
THENCE NORTH 01° 54' 33" EAST, A DISTANCE OF 41.54 FEET TO THE ORDINARY HIGH TIDE
LINE OF DISCOVERY BAY;
THENCE ALONG SAID ORDINARY HIGH TIDE LINE NORTH 41° 17' 07" EAST, A DISTANCE OF
28.02 FEET;
THENCE SOUTH 87° 19' 24" EAST, A DISTANCE OF 18.54 FEET;
THENCE SOUTH 33° 07' 12" EAST, A DISTANCE OF 7.84 FEET;
THENCE SOUTH 78° 54' 02" EAST, A DISTANCE OF 6.09 FEET;
8
•
EXHIBIT A
PARCEL D
BEFORE ADJUSTMENT
THAT PORTION OF TAX NO. 12 OF SECTION 24, TOWNSHIP 29 NORTH, RANGE 2 WEST, W.M.,
JEFFERSON COUNTY, WASHINGTON, LYING SOUTH OF THE COUNTY ROAD KNOWN AS THE
FAIRMONT ROAD, THE WHOLE OF SAID TAX NO. 12 BEING MORE PARTICULARLY
DESCRIBED AS FOLLOWS:
COMMENCING AT A POINT ON THE MEANDER LINE OF PORT DISCOVERY BAY IN SAID
SECTION 24, 2081/2 FEET EASTERLY FROM THE NORTHEAST CORNER OF THE"J. E. BURNS
DONATION CLAIM;
THENCE SOUTH 417 FEET;
THENCE WESTERLY 104% FEET;
THENCE NORTH 417 FEET TO THE MEANDER LINE;
THENCE EASTERLY ALONG SAID MEANDER LINE 104% FEET, MORE OR LESS, TO THE PLACE
OF BEGINNING.
EXCEPT THE RIGHT OF WAY OF THE PORT TOWNSEND SOUTHERN RAILROAD.
7
EXHIBIT A
PARCEL C
BEFORE ADJUSTMENT
THAT PORTION OF THE TUKEY DONATION CLAIM NO. 39 OF SECTION 24, TOWNSHIP 29
NORTH, RANGE 2 WEST, W.M., JEFFERSON COUNTY, WASHINGTON, DESCRIBED AS
FOLLOWS:
BEGINNING AT THE NORTHWEST CORNER OF SAID DONATION CLAIM;
THENCE SOUTH ALONG THE WEST LINE OF SAID CLAIM, TO THE SOUTH LINE OF THE RIGHT
OF WAY OF THE OLD COUNTY ROAD,THIS BEING THE TRUE POINT OF BEGINNING;
THENCE CONTINUING SOUTH ALONG THE WEST LINE OF SAID DONATION CLAIM TO A POINT
WHICH IS 418 FEET SOUTH FROM THE NORTHWEST CORNER OF SAID DONATION CLAIM;
THENCE SOUTH 801/2° EAST, 1041/4 FEET;
THENCE NORTH TO THE SOUTH LINE OF THE RIGHT OF WAY OF SAID OLD COUNTY ROAD;
THENCE WESTERLY ALONG SAID SOUTH RIGHT OF WAY LINE TO THE TRUE POINT OF
BEGINNING.
SAID TRACT IS DESIGNATED ON THE COUNTY ASSESSOR'S PLAT AND DESCRIPTION BOOK
AS THAT PORTION OF TAX NO. 13 OF SAID SECTION 24, LYING SOUTH OF THE RIGHT OF
WAY OF THE OLD COUNTY ROAD.
•
•
THENCE CONTINUING SOUTHERLY ALONG SAID EAST LINE, A DISTANCE OF 41.35 FEET TO A
POINT ON THE NORTH MARGIN OF SAID FAIRMONT ROAD;
THENCE NORTHWESTERLY ALONG SAID NORTH MARGIN, A DISTANCE OF 101.86 FEET;
THENCE IN A STRAIGHT LINE NORTHEASTERLY, A DISTANCE OF 95.92 FEET, MORE OR
LESS, TO THE POINT OF BEGINNING.
5
•
•
EXHIBIT A
PARCEL B
BEFORE ADJUSTMENT
THAT PORTION OF THE BURNS DONATION LAND CLAIM NO. 38 IN SECTION 24, TOWNSHIP 29
NORTH, RANGE 2 WEST, W.M., JEFFERSON COUNTY, WASHINGTON, DESCRIBED AS
FOLLOWS:
COMMENCING AT THE NORTHEAST CORNER OF THE BURNS DONATION LAND CLAIM PER
SUPERIOR COURT CAUSE NO. 9756;
THENCE SOUTHERLY ALONG THE EAST LINE OF SAID BURNS DONATION LAND CLAIM, A
DISTANCE OF 435.31 FEET TO A POINT ON THE NORTH LINE OF LOT 1 OF THE NOVAK
SHORT PLAT AS RECORDED IN VOLUME 1 OF SHORT PLATS, PAGE 106, RECORDS OF
JEFFERSON COUNTY, WASHINGTON, BEING THE TRUE POINT OF BEGINNING;
THENCE WESTERLY ALONG THE NORTH LINE OF SAID LOT 1, A DISTANCE OF 142.67 FEET
TO A POINT ON THE EAST LINE OF LOT 2 OF SAID NOVAK SHORT PLAT;
THENCE NORTHERLY ALONG THE EAST LINE OF SAID LOT 2, A DISTANCE OF 251.54 FEET
TO THE SOUTHERLY RIGHT OF WAY LINE OF COUNTY ROAD NO. 5032, KNOWN AS
FAIRMONT ROAD;
THENCE CONTINUING NORTHERLY APPROXIMATELY 96.96 FEET TO THE SOUTHERLY
MARGIN OF THE FORMER RAILROAD RIGHT OF WAY;
THENCE SOUTHEASTERLY ALONG SAID SOUTH MARGIN TO A POINT LYING 86.21 FEET
WESTERLY AS MEASURED AT RIGHT ANGLES TO SAID EAST LINE OF SAID BURNS
DONATION LAND CLAIM;
THENCE SOUTHERLY PARALLEL WITH SAID EAST LINE OF THE BURNS DONATION LAND
CLAIM, APPROXIMATELY 95.32 FEET TO THE SOUTH MARGIN OF SAID FAIRMONT ROAD;
THENCE SOUTHEASTERLY ALONG SAID SOUTH MARGIN TO THE EAST LINE OF SAID BURNS
DONATION LAND CLAIM;
THENCE SOUTHERLY ALONG SAID EAST LINE OF BURNS DONATION LAND CLAIM TO THE
TRUE POINT OF BEGINNING.
EXCEPT THAT PORTION DESCRIBED AS FOLLOWS:
BEGINNING AT A POINT ON THE EAST LINE OF SAID BURNS DONATION LAND CLAIM, A
DISTANCE OF 116.80 FEET SOUTHERLY OF THE NORTHEAST CORNER OF SAID BURNS
DONATION LAND CLAIM;
4
•
• EXHIBIT A
PARCEL A
BEFORE ADJUSTMENT
THAT PORTION OF TAX LOT 19 LYING WITHIN BURNS DONATION LAND CLAIM NO. 38 IN
SECTION 24, TOWNSHIP 29 NORTH, RANGE 2 WEST, W.M., JEFFERSON COUNTY,
WASHINGTON, TOGETHER WITH 2ND CLASS TIDELANDS LYING WITHIN THE EASTERLY 290
FEET OF SAID BURNS DONATION LAND CLAIM AND NORTHERLY OF THE NORTHERLY RIGHT
OF WAY LINE OF THE ORIGINAL CHICAGO, MILWAUKEE, ST. PAUL AND PACIFIC RAILROAD.
TOGETHER WITH THAT PORTION OF THE JOHN E. BURNS DONATION LAND CLAIM NO. 38,
DESCRIBED AS FOLLOWS:
COMMENCING AT THE NORTHEAST CORNER OF SAID JOHN E. BURNS DONATION LAND
CLAIM, THE TRUE POINT OF BEGINNING (POINT NO. 1);
THENCE SOUTH ALONG THE EAST LINE OF SAID CLAIM 100 FEET, MORE OR LESS, TO A
POINT 50 FEET SOUTHERLY OF THE CENTERLINE OF THE FORMER PORT TOWNSEND
SOUTHERN RAILROAD, MEASURED AT RIGHT ANGLES THERETO (POINT NO. 2);
THENCE WESTERLY PARALLEL TO AND 50 FEET SOUTHERLY FROM SAID CENTERLINE, A
DISTANCE OF 422 FEET(POINT NO. 3);
THENCE NORTH TO THE SOUTHEAST CORNER OF THE PARCEL OF LAND OWNED BY THE
CLALLAM COUNTY P.U.D. AND KNOWN AS TAX 62 (POINT NO. 4);
THENCE ALONG THE EAST LINE OF SAID CLALLAM COUNTY P.U.D. PARCEL, 150 FEET TO
THE NORTHEAST CORNER THEREOF (POINT NO. 5);
THENCE NORTH 20 FEET, MORE OR LESS, TO THE MEANDER LINE OF DISCOVERY BAY
(POINT NO. 6);
THENCE EASTERLY ALONG THE MEANDERS OF DISCOVERY BAY TO THE WEST LINE OF THE
PARCEL OF LAND CONVEYED TO CASCADE DOOR COMPANY AS "PARCEL 2", UNDER FILE
NUMBER 223983 (POINT NO. 7);
THENCE SOUTH ALONG THE WEST LINE OF SAID "PARCEL 2"TO A POINT 50 FEET
NORTHERLY OF THE CENTERLINE OF THE FORMER PORT TOWNSEND SOUTHERN
RAILROAD (POINT NO, 8), MEASURED AT RIGHT ANGLES THERETO;
THENCE EASTERLY PARALLEL TO AND 50 FEET NORTHERLY FROM SAID CENTERLINE TO
THE POINT OF BEGINNING.
POINT NO. 3 IS MARKED WITH A GALVANIZED /" BOLT SET IN CONCRETE.
3
•
•
STATEMENT OF INTENT:
This recording is for the purpose of assisting with a boundary line adjustment
pursuant to RCW 58.17.040(6). It does not create any additional lots, tracts, parcels,
or division as the land described herein shall merge or be integrated into abutting
property presently owned by the proponent. Nor does the boundary line adjustment
result in any lots, tracts, parcels or division which contain insufficient area and
dimension to meet minimum county and sanitation requirements for width and area
for a building site.
(Proponent's Signature) For SEA-KOTA, INC.
STATE OF WASHINGTON
COUNTY OF cLALi k/\ ) SS
On -3—Pr(-tt.,ciZ.-f I I , 20 01 , personally appeared ctiA2LE's A
N c L) K and proved to me on the basis of satisfactory evidence to be the
person whose name is subscribed to this instrument, and acknowled hat {-}t
executed it. 4
IWITNESS my hand and official seal this I day of �•��� ° �n" i
20 b t . • y^ . y
PUBLIC :
Notary Public in and for the State of Washington Wks
Residing at �02; �rtGS
This boundary line adjustment has been reviewed and approved by the Jefferson
County Development Review Division.
1Z2 (Y/0
Assistant Planner
Date
•
AFTER RECORDING MAIL TO:
Name: Clark Land Office
I)
Address: P. O. Box 2199 St(i)c? '
City,State: Sequim, WA 98382 (�J
Qc ' G,\QA)b-A
Boundary Line Adjustment `
Grantor(s): 6) )
6,24i R\(L'
I. SEA-KOTA, INC. \� (N
/ (�
U2.
`J �(J
3. i)\ U
Grantee(s):
1. SEA-KOTA,INC. f ,
2. 0/
3.
Legal Description: Parcels involved in the adjustment are currently legally described as follows(include
Assessor's Property Tax Parcel Account Numbers):
Parcel A: 902 243 031 —SEE ATTACHED EXHIBIT A,PAGE 3 1 _•
4 902 241 016—SEE ATTACHED EXHIBIT A,PAGE 4,5 -r)/ _ , t
Awe!C: ' 902 241 013—SEE ATTACHED EXHIBIT A,PAGE 6
Parcel D: 902 241 011 —SEE ATTACHED EXHIBIT A,PAGE 7 ►
Boundary line subject to adjustment described as follows(new legal description):
SEE ATTACHED EXHIBIT B,PAGES 8 THROUGH 12
The nature of the adjustment is described as follows:
To create four buildable lots and to clarify deeds.
1
, Proposal Description: (Please describe specifically) •
•
Boundary Line Adjustment of 4 existing lots to create 4 buildable
lots and to clarify deeds.
Site Plan:
A site plan must accompany the exemption request. It shall be no larger than 11 by 17 inches, to scale, and
suitable for copying. It shall illustrate and identify the following features:
1. Existing parcels (maps may be obtained from the Jefferson County Assessor's Office),
2. Dimensions of all boundaries for each lot,
3. North arrow and engineer's scale,
4. Name and location of all roads/easements within or adjacent to the proposed boundary line adjustment.
5. Indicate any existing improvements(wells, septic tanks, drainfields, structures, streams, etc.),
6. Indicate setbacks from existing structures and improvements to proposed new boundaries, Show lot area of
each new parcel.
Acknowledgement:
By signing the application form, the applicant/owner attests that the information provided herein is true and correct to the best of their knowledge. Any matenal
falsehood or any omission of a material fact made by the applicant/owner with respect to this application packet may result in this permit being null and void.
I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attomey's fees and expenses which may in
any way accrue against Jefferson County as a result of or in consequence of the granting of this permit.
I further agree to provide access and right of entry to Jefferson County and it's employees,representatives or agents for the purpose of application review and any required
later inspections. Access and right of entry to the applicant's property or structure shall be requested and shall occur during regular business hours.
1 /
,r l� `/G —I l—rj /
(aut orized signature) (date)
FOR OFFICE USE ONLY"
Exemption Type: G ,a-
Applicable Ordinance Subsection: 3. c(O (ci)
Approved ❑ Disapproved
ents
/)"A 4 4r,(4t(
Rysrble f 'al: 6/za
Copies:P Applicant • _ Assessor's Office Health Department
j �► Representative Department of Public Works ❑ Other�:ct
JULivED
2 2001
JEFFERSON FOE TIPacre 3 of 3
ASSESSOR
f{\home\p Incntr\B L \B LAA pplicadon 1 C/99
' Prpperty.Owger ( C):
- SEA-KOTA, INC.
9 Digit Parcel Identification Number (from your tax statement):
902 241 013
' Legal Description
Subdivision Name: Block: Lot(s):
•
Section: 24 Township: 29N I Range: 2W
Parcel Size (acres or square footage): 0. 53 acre
Site Address
91 l#: Road Name: Zip Code:
Property Owner (parcel D):
SEA-KOTA, INC.
9 Digit Parcel Identification Number (from your tax statement):
t
902 241 011
Legal Description
Subdivision Name:
Section: Block: I Lot(s):
24 I Township: 29N I Range: 2W
Parcel Size (acres or square footage): 0. 49 acre
Site Address
911#: I Road Name: Zip
p Code:
Property Owner (parcel E):
4
9 Digit Parcel Identification Number (from your tax statement):
Legal Description
Subdivision Name:
Block: Lot(s):
Parcel Size (acres or square footage):
Site Address
911#: Road Name: I Zip Code:
\home\pirrncr\BiA\BLAAppliauonl0/99 Page 2 o f >
H
,!50N r. ,
Jefferson County Department of Community Development
/--C 621 Sheridan Street, Port Townsend WA 98368 (360) 379-450
. r (BLA)
r- Subdivision Exemption1
^'S�% rl of v0 3
A taQ� I V E D
JAN 1 2 2001
The Jefferson County Subdivision Ordinance exempts certain proposals from the plattip A I/ot the
WA State Plats-Subdivisions-Dedications Act (RCW 58.17). To qualify for an exemption, the ro os 1 P P p rhust be
reviewed and approved by the Jefferson County Development Review Division.
Applicant/Owner: Phone:
INC, . ( 360) 928-2144
Mailing Address:
P. O. Box 2396 Port Angeles, WA 98362
Authorized Representative: Phone:
Clark Land Office ( 360 ) 681-2161
Mailing Address:
P. O. Box 2199 Sequim, WA 98382
Property Owner (parcel A):
SEA-KOTA, INC.
9 Digit Parcel Identification Number (from your tax statement):
902 243 031
Legal Description
' Subdivision Name: Block: Lot(s):
'i Section: 24 Township: 29N Range:
2W
Parcel Size (acres or square footage): 2. 09 acres
Site Address
911#: 581 Road Name: Fairmont Rd Zip Code: 98368
Property Owner
Y.
SEA-KOTA, INC.
9 Digit Parcel Identification Number (from your tax statement):
` .° 1k ,41"..0164
Legal Description
Subdivision Name: Block: Lot(s):
Section: 24 Township: 29N Range: 2W
Parcel Size (acres or square
footage): 0. 79 acre
Site Address
91 1.=: Road Name: Zip Code:
FOR OFFICE USE ONL Y
Fire District: I Planning Area: I School District: Zone:
Fee•
. ' ,O U ' Receipt: J 7 /A Date: / 0
6_44 'Cc:G.'1,?9 7/.2 Y/cx/ _
JAN N 1 $ 2001
{{`.homt\pinrnv\pLk\[3L1\pplucioniC/99
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