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Application to use County Road
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ACT! ON REQUEST
M" ..l;0'.!!"...!l--DATE: -;-/21"'1
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(3crh.hmiJllI" No. 62-272
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STATE OF.tJ..d..{.r.~r.!!!.G!..r.~~......}
County' of..K.f.&..(;............................ 55.
On this day personally appeared belore me.....J/.tt:t..g.L.....d..:....4.!.({,c{.L......d.J!.I..I.!.............................
..!?c.!:l::~l.{'..<.c1...........f),.........N.f./.!!..I?........................................................................to me known to be the individualS
described in and wbo executed tbe witbin and lore going instrument and acknowledged tbat...Z7.C..~........sigued
tbe same as...iCI.t..(.t',e...free and voluntary act and deed lor the uses and purposes therein mentioned.
.GIV~~'under}JlY hand and official seal this.........f.'nt..:.......day 01 .......(J~:.U!..(t.f."-..........., 19..z.~
I~ft~~;;{~~~r~~, .....2nL~.....~.~~.............................
~~;; X~ t.'{j ~.\.\~-:/~ ",Notary Public in and Cor the State of Washington, residing at............~.~.t.:1.~.~.bI..........................~
<;'~::.c~;~.,~:~::/}}:.::~> (CorporaUon acknowledgment lorm)
(lndLvidual acknowledgment form)
::::: ::::::::::::::::::::::::::::::::::::::::::::: }ss.
On this................................day or.................................................., 19........, belore me personally appeared....................
........................................................................................................and..... ............................................................................., to me kno\vn
to be the......................................................................................and..........................................................................01 the corporation
tbnt executed the within and loregoing instrument, and acknowledged said instrument to be the Iree and vol-
untary act and deed 01 the corporation, lor the uses and purposes therein mentioned, and on oath each stated
that he was authorized. to execute said intrument and that the seal affixed is the corporate seal 01 the
corporation.
In Witness Whereol I have hereunto set my hand nnd affixed my official seal the day and year first
above written. .
Notary Public in and (or the Stale of Washington, residing lit......"...............................................................
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STATE of.lL!.rr,.th1.,,,,,y.G;...}
County ol<q..",{.f..&..~.... ss.
On this day personally ~1Weared belore me...~...JP......~!d..~<..'::f..e......~.4...............
..'1n.(M..d!.,L.:cu........?/.~..~......................................................................to me known to be the individuaL...
described in and who executed the within and lore going instrument and acknowledged thnt...:fLv._j........signed
the same as....&.~.....free and voluntary act and deed for the uses nnd purposes therein,}ll.e.~,lI'o'n'eii:
Given under my hand and official sealthis.........d.-...7/.............day of .........1.:.C:.?::........,.l:f.;?:;::.i9~1..:ir:......'
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Not.ry Public In .nd lor the SI.te 01 Washlnglon, rcsldlng .1...l?~.....L.~..,f}....#.I.,.(p........
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(Individual acknowledgment Corm)
(Corporntlon acknowledgment lorm)
::::: :~::::::::::::::::::::::::::::::::::::::::::: }ss.
On this................................day or.................................................., 19........, belore me personally appeared....................
........................................................................................................and.................................................................................., to me known
to be the.........................:............................................................and..........................................................................01 the corporation
that executed the within and loregoing instrument, and acknowledged said instrument to be the Iree and vol-
untary act and deed 01 the corporation, lor the uses and purposes therein mentioned, and on oath each stated
that he was authorized to execute said intrument and that the seal affixed is the corporate seal 01 the
corporation.
In Witness Whereol I have hereunto set my hand and affixed my ollicial seal the day and year first
above written.
Notary Public In and (or the State or Washington, residing at ......................................................................'
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Clndlvldual ncknowledgment form)
STATE OF.....IOAHO........................}
.1 55.
County Of.......CM.\.'Ji:".:~.o:~........
On this day personally appeared belore me...Andr:ea...Joan..Ha.rr.is1....p.er:sonal..Repr.esen:::
ta.t.i.v.e....o.f...the...ESj;a:te...of...A..J...Ke~J.i"ki.f...de"ease.d..............to me known to be the individual....
described in and who executed the within and loregoing instrument and acknowledged that......she........signed
the same as.........::::...?'.'it~R&kWiMig~li.\\H~ Pof. tlf.rijse~saM ~'firposes therein mentioned.
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...qi};~;t ill\~~my hand and official seai thiS.............9...:'r.'::.......day 01 ..s/.~:-!:!::.~::7J............, I9..Z~.
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~ ,/, \ ' '_ '_ _ " ~ Notary Pubhc in and for the State of \Y@l---ot , residing at...... ~..h!......._. 7!l.1:.......i..t.....dst.':.........,
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(Corporation acknowledgment form)
::~:: :::::::::::::::::::::::::::::::::::::::::::::}ss.
On thls................................day or.................................................., 19........, belore me personally appeared....................
........................................................................................................and.................................................................................., to me kno\vn
to be the......................................................................................and..........................................................................01 the corporation
that executed the within and loregoing instrument, and acknowledged said instrument to be the Iree and vol-
untary act and deed 01 the corporation, lor the uses and purposes therein mentioned, and on oath each stated
that he was authorized to execute said intrument and thnt the seal affixed is the corporate seal 01 the
corporation.
In Witness Whereol I have hereunto set my hand nnd nffixed my official seal the day and year first
ahove written. .
...............................................................................................................
Notary Public in and for the State of Washington, residing at ....................................................."...............
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STATE OF.....:,.;,!.kfJ..c.~..........}
County Ol....;}.{(c.r.~.~.I!::......... ss. .'1
pn this day personally appeared"belore me)..9~.I..f..tt:t.('.:.,,;~.,...c,,,,.J~...fl""-A.'!,(.,!.....
,:;t4<~,uty..h,.1.!:"?."-I."....a"....\}.!.....:l.~"~~............................to me known to be the !.9dividual....
described in and who executed the within and lore going instrument and acknowledged that.....~L~.....signed
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the same as.;,..,&.h.....!.....Iree and voluntary act and deed for the uses and purposes therein mentioned.
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", ....' ~~j:~~~,~f ,;::. :........ Notary Public in and for the State Of~, residing at...r.I-i!..Cr.tk:.~.e.~!1..~#r.=..;t:!::::'......,
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(IndivIdual acknowledgment form)
(Corporation acknowledgment form)
STATE OF...........................................}
ss.
County 01..............................................
On this................................day or.................................................., 19........, belore me personally appeared....................
........................................................................................................and.................................................................................., to me known
to be the......................................................................................and..........................................................................01 the corporation
that executed the within nnd lore going instrument, and aclmowledged said instrument to be the Iree and vol-
untary act and deed 01 the corporation, lor the uses and purposes therein mentioned, and on oath each stated
that he was authorized to execute said intrument and that the seal affixed is the corporate seal 01 the
corporation.
In Witness Whereol I have hereunto set my hand and affixed my official seal the day and year lirst
above written.
Notary Public In and tor the State of Washington, residing at .......................................................................
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STATE OF~.f.Y...~.t;f;.........}
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County 01..... ............................. _ / 'Iud, '\ .J- ""l\iO /1,
On this day personally appeared belore me.{I~...........&.?:............J~..........,..............~......
........................................................................................................................................................to me known to be the individual....
described tn,an~vho. executed the within and foregoing instrument and aeknOWledg~d:~~~h~~.::....signed
the same as..:f!.c..~.(<......free and voluntary act and deed for the uses and purposes..tlllJreili /lDeptiol1.od,
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Given under my hand and official seal this........!.....................day 01 ........ .0.:~~ 0:'&9'..f..(, 1
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Notary Public in and lor the State oC Washington, residing at..l.~........~.,..,.;.~!.-i.:...."
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(Individual acknowledgment form)
(Corporation acknowledgment form)
::::: :::::::::::::::::::::::::::::::::::::::::::::}ss.
On this................................day or.................................................., 19........, belore me personally appeared....................
........................................................................................................and.................................................................................., to me known
to be the......................................................................................and..........................................................................01 the corporation
that executed the within and loregoing instrument, and aclmowledged said instrument to be the Iree and vol-
untary act and deed 01 the corporation, lor the uses and purposes therein mentioned, and on oath each stated
that he was authorized to execute said intrument and that the seal affixed is the corporate seal 01 the
corporation.
In Witness Whereol I have hereunto set my hand and affixed my official seal the day and year first
above written. .
...............................................................................................................
Notary Public in and Cor the Stale of Washington, residing at.......................................................................
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(Individual acknowledgment form)
::::: :::::::::::::::::::::::::::::::::::::::::::::Jss.
On this day personally appeared belore me..........!:!~.r.F..y....9.F..S".~~...............................................................................
........................................................................................................................................................to me known to be the individual....
described in and who executed the within and foregoing instrument and acknowledged thal........................signed
the same as........................Iree and voluntary act and deed for the uses nnd purposes therein ~.qr.~i.oned.
. ... '2- /M...."", ....:)'..07?
Given under my hand and ollleml seal thlS................................day ~,....0'.:.......j.d9:T:.... ",
.............................:~i~:~t~~~:L.........
Notary Public in and for thc State of Washington. residing at.....~.k:.:~'.~;.;?(.6~............ -
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(Corporation acknowledgment form)
::::: :::::::::::::::::::::::::::::::::::::::::::::}ss.
On this................................day or.................................................., 19........, belore me personally appeared....................
........................................................................................................and.................................................................................., to me known
to be the......................................................................................and..........................................................................01 the corporation
that executed the within and foregoing instrument, and acknowledged said instrument to be the Iree and vol-
untary act and deed 01 the corporation, lor the uses and purposes therein mentioned, and on oath each stated
that he was authorized to execute said intrument and that the seal affixed is the corporate seal 01 the
corporation.
In Witness Whereol I have hereunto set my hand and allixed my official seal the day and year first
above written.
Notary Public in and for the State of Washington, residing a1......................................................................
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STATE OF...!.i.h.~!t.;!!;jli.t."l.........}
, 55.
County or....S;::J.!/Ir.1,~!!.f.;.!...........
On this day personally appeared belore me~.((/'J...CJ......r-:J..q,r.;!/..tt..r;.i...)Qdl.J~!::t::.....E.'l.!..,..............
.............'(]Jg,~.!!.~.!...c;i.:...Q:d(t.1!!.!.':-:!................................................................................to me known to be the individual....
described II) ant! who executed the within and lore going instrumeut and aclmowledged that..l.(,t/I...........siglled
the s,a~q' ~~,.:;~1~~.~,,<:.Iree and voluntary act and deed lor the uses and purposes therein mentioned.
'~.....\-.~,,:,...~..\P( ~' ,
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'.;:\./:.; f:\\$~~:!J) ...................r.:Ja.lL(flL!~~_J...~~1...9lq.-/,:d.......................
" ';;~. .::.. ".:~ \'" :., Notary Public in and for the State of Washington, residing nt.Vm../!/..r.I.(!f.},tell.J...I............................
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(IndivIdual acknowledgment form)
(Corporation acknowledgment form)
::::: ::::::::::::::::::::::::::::::::::::::::::::: }ss.
On this................................day or.................................................., 19........, helore me personally appeared...............:~...
........................................................................................................and.................................................................................., to me kno\vn
to be the......................................................................................and-.. ,.....................................................................01 the corporation
that executed the within and loregoing instrument, and acknowledged said inslrument to be the Iree and vol-
untary net and deed 01 the corporation, lor the uses and purposes lherein mentioned, and on oath each stated
that he was authorized to execute said intrument and that the seal affixed is the corporate seal 01 the
corporation.
In Witness Whereol I have hereunto set my hand and affixed my official seal the day and year first
above written.
Notary Public in and for the State of Washington, residing at ...;..................................................................
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STATE OF..it...6~1:..(~J.(E!!,..!..........,}
County or..c;;;fVJt~.!Nc,/............. ss.
On this day personally appeared belore me.~.~d'l...C.l...()~f..v..It.<.t.,jCb.Ii5.~f..~\,!..............................
........................................................................................................................................................to me known to be the individual....
described ~,~.~d :Whjl executed the within and loregoing instrument and acknowledged that..0.b.r...!..........signed
,." 1','I~I3i.J,"
the s'!.ni~ a.s.....~~~4.(.i.....frce and voluntary act and deed lor the uses aud purposes therein mentioned.
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.i ,-Glye~I'Pc,fefj~1' lfnnd and olllelUl senl thlS...........:...:.::::...........day 01 ....tJ.d;d'./.L...................., 19..7.:....
:, ;;;....~~.1;~~i~1~} .............s~fa..\l.w,..L:!:,...t;0~ML~lr...!...........................
, 'i- ....... ::. :.,', ~.." ,,~Notary Public in and for Ule State of Washington, residing: at\.::/cJ;f.:!.I!a!O.!.(.IUf.J..............................
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(Individual acknowledgment form)
(Corporation acknowledgment form)
:::n:: ::::::::::::::::::::::::::::::::::::::::::::: }ss.
On this................................day or............................................ ....., 19........, belore me personally appeared....................
........................................................................................................and.................................................................................., to me kno\vn
to be the......................................................................................and..........................................................................01 the corporation
that executed the within and loregoing instrument, and acknowledged said instrument to be the Iree and vol-
untary act and deed 01 the corporation, lor the uses and purposes therein mentioned, and on oath each stated
that he was authorized to execute said intrument and that the seal affixed is the corporate seal 01 the
eorporntion.
In Witness Whereol I have hereunto set my hand and affixed my official seal the day and year first
ahove written.
Notary Public in and for the Slale or Washington, residing at......................................................................
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(IndIvIdual acknowledgment form)
STATE OF....i.1~~:i-!.!9:\:9!.!..............}
ss.
County or........Y.gg.f.~.+.~gr.L............
".....~&:.~~;;.;~;;;i...~.~~.e.~~:~...~.~~~~:.~~:~~::=~:~:!::::~:~:::~~~:~.:::~!~.~~:::.;~~~;~:~;::::
, d~ser'b'e '." 0 executed the within and lore going instrument and acknowledged thal......:t::h.~X........signed
, , 1 ~?
.the s:~r}',) I\. A " '(1' .........Iree and voluntary net and deed lor the uses and purposes therein mentioned.
" ."" ..,"~- lite'
, ' 'J ~~n'<(lt,\ler my hand and official seal this...........,,r.....S,..........day 01 ..........Qctober................, 19..15..
, ',.; ';,' ,,",' ..........c2......@....................Jl.l:&.y.....................:.....
Notary Public In and Cor the State oC Washington, residing at.....l?DI:t...TaNnssn.d.................................,
(Corporation acknowledgment Corm)
STATE OF...........................................}
County 01.............................................. ...
On this................................day of........................................ ........., 19........, belore me personally appeared....................
.....................................................................................-,...................and..................................................................................,tomekno\vn
to be the......................................................................................and..........................................................................01 the corporation
that executed the within and loregoing instrument, and acknowledged said instrument to be the Iree and vol-
untary act and deed 01 the corporation, lor the uses and purposes therein mentioned, and on oath each stated
thnt he was authorized to execute said intrument and that the seal affixed is the corporate seal 01 the
corporation.
In Witness Whereol I have hereunto set my hand and affixed my official seal the day and year first
above written.
Notary Public in and lor the State oC WashIngton, residing at ......................................................................
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STATE OF..4.i.t..~.It..~~j.iE.~....}
- 55.
County ol.::!.~f.~~~!..~..............
On this day personally appeared belore me...4.//!f.{.&:...E......;[t.'O.l!..~.~1......:;?!?..........-1'..1'..K........
."..2i.r.iY..i~."!............~.~:v...;?...........=:::::::..................................................to me known to be the individual....
described in and who executed the within and loregoing instrument and acknowledged that .~......signed
the same as .i~..free and voluntary act nnd deed lor the uses and put'poses therein mentioned.
'" .":;;0;;',:> . . . ~'fJ7fI ..c- ~H1,.("lf- 7-6"
l>1V~n 'under wy hand and olllCtal seal this............................... day ok::::t"~,..,.,..7)........, 19.........
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:~\.:.,;PU.O.l\\.,\, ~'~"""~:'''''''7J7'?!~'~'l!...... ........................
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" :.f:..~:. '..:: Notary Public in and Cor the State of Wasbington, residing a1........................................................................
(Individual acknowledgment (orm)
(Corporation acknowledgment (orm)
::::: :::::::::::::::::::::::::::::::::::::::::::::}ss.
On this................................day or.................................................., 19........, belore me personally appeared....................
........................................................................................................and................................................................................... to me known
to be the......................................................................................and..........................................................................01 the corporation
that executed the within nnd loregoing instrument, and aclmowledged said instrument to be the Iree and vol.
untary act and deed of the corporation, lor the uses and purposes therein mentioned, and on oath each stated
that he was authorized to execute said intrument and that the seal affixed is the corporate seal 01 the
corporation.
In Witness Whereol I have hereunto set my hand and affixed my official seal the day and year first
above written.
Notary Public in and Cor the State DC Washington, residIng at.......................................................................
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STATE OF.....Z~o/~}
County or.........(!;;:.f.t.~;J.......... ss.
On this day personally appeared belore me...........J).9.1l...P.~.t~r.~...................................................................................
........................................................................................................................................................to me known to be the individual....
described tn and who executed the within and loregoing instrument and acknowledged that...::-L"u..,........signed
the same as..-.Af.~....free and voluntary act and deed lor the uses and purposes therein mentioned.
.. --f"
Giyeq.tinq~/inf..,hand and official seal this...../!?.,(b..........day 01 ....'.:~~!z.If:.t....., 19..Zt..-
:<',:;,,:;'%''ii~;L\'.', . .........:............./2Jt.?.3C.~(....&:".=~;::L......
_' ,:.~>':~~ ;'M e~,11~~; .llotary Public in and (or the State of Washmgton, residing at,.........~~.,l",e.~.c............"............
'r> ~:.{~::{0::.\~::
(Individual acknowledgment torm)
(Corporation acknowledgment torm)
::::: :::::::::::::::::::::::::::::::::::::::::::::}ss.
On this................................day or.................................................., 19........, belore me personally appeared....................
........................................................................................................and.................................................................................., to me known
to be the......................................................................................and,.........................................................................01 the corporation
that executed the within and loregoing Instrument, and acknowledged said instrument to be the free and vol-
untary act and deed 01 the corporation, for the uses and purposes therein mentioned, and on oath each stated
that he was auUlOrized to execute said intrument and that the seal affixed is the corporate seal 01 the
corporation.
In Witness Whereol I have hereunto set my hand and affixed my olficial senl the day and year first
above written.
Notar)' Public In and (or the State of Washington, residing at.......................................................................
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STATE OF)j{fM.t~~f1;t;;,,~
. f/ 1.~._nm 55.
County or....'2(::,."(.....................
On this day personally appeared belore me....... ...r:l~rg~r.~.t .Il~."!Upg~.r.,...'.'...W~.~9.11............ ...........................
........................................................................................................................................................to me known to be the individual....
deserib,ed ~"~'~, who executed the within and loregoing instrument and acknowledged that..r<L-.~......signed
the sa~e ills):; "~......free and voluntary act and deed lor the uses and purposes therein mentioned.
" .....~.::...:' "" .,-I, a ~
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, :::? G'j~t'l\ hand and official seal this..............I.9............day 01 ........~..:......... .. . ............, 19.1.'~
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-":'" r. 1 \~, .....$".: Notary Public in and lor the State or Washington, residing at_..u..~zzt'~....................."..............
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(Individual acknowledgment (orm)
(Corporation acknowledgment (orm)
::::: :~:::::::::::::::::::::::::::::::::::::::::::}ss.
On this................................day 01.................................................., 19........, belore me personally appeared....................
........................................................................................................and.................................................................................., to me known
to be the......................................................................................and..........................................................................01 the corporation
that executed the within and loregoing instrument, and acknowledged said instrument to be the Iree and vol-
untary act and deed 01 the corporation, lor the uses and purposes therein mentioned, and on oath each stated
that he was authorized to execute said intrument and that the seal affixed is the corporate seal 01 the
corporation.
In Witness Whereol I have hereunto set my hand and affixed my official seal the day and year first
above written.
Notary Public in and Cor the State oC Washington, residing at ......................................................................
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STATE OF.l.UMJ'*'Y.l.y..?F.n......}
County 01..(]..../~.~......... ss.
(] ,
On this day personally appeared belore me..........~I!!.rS~~..l:!~.~~.y.i.~.~~.:E.~.!...~~E...~~.!?~E~~.:...:~.~~~~....
'.......................................................................................................................................................to me known to be the individual....
described in and who executed the within and foregoing instrument and acknowledged tha(:.~::,...signed
the same as...~......free and voluntary act and deed lor the uses and purposes lI,'6~,ei.n~'Jriiiliil~~., ..,-.,
.. . ~ ? ~! !~:l\'lftJ?1~ "
Given under my hand and olllelal seal lIus........<Z:-.!:l................day 01... .. ............. ......;"......., .1v.;.:..Y.-: '
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Notary Public In and lor lbc Stale 01 Wasblngton, rcsldlng nl..i?.v.>.T.....ri:!:.~'j;l;.!.~/..-1.:,.._
(Individual acknowledgment Corm)
(Corporation acknowledgment form)
:::n~: ::::::::::::::::::::::::::::::::::::::::::::: }ss.
On this................................day 01.................................................., 19........, belore me personally appeared....................
........................................................................................................and.................................................................................., to me known
to be the......................................................................................and..........................................................................01 the corporation
that 'executed the within and loregoing instrument, nnd acknowledged said inslrumenllo be the Iree and vol.
untary act and deed 01 the corporation, lor the uses and purposes therein mentioned, and on oath each stated
that he was authorized to execute said intrument and that the seal alfixed is the corporate seal 01 the
corporation.
In Witness Whereol I have hereunto set my hand and affixed my olfieial seal the day and year first
above written.
Notary Public in and for the State oC Washington, residing at.......................................................................
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STATE OF..W.~.!!h1n,,;.t.!.!l............}
County of.....~~.f.f..~.r.~.!JL........... 55.
On this day personally appeared belore me.......r!~.~.~.r.:!i....~.,....!,1.l~....P..~!;.1;y..A.,...JU.ll~.r..,.......................
.................................hus.hil.n.d......nd.....wi.r.e.......................................................:..............to me known to be the individual.~.
described in and who exeeut.ed the within and loregoing instrument and acknowledged that...1;.h!!.y..........signed
the same ns...~.~.~.~.!::......free and voluntary act and deed lor the uses and purposes therein mentioned.
. ,:.' . " .:...c.
.: ,.:.:,.;,,~w,ei1,~nder my hand and offieinl seal this.......;?,?:t;.h.............day 01 ..................J.lll:f..............., I9....7.S
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" -:;. .<...,pLto ' r-". ....: I...c, Notary Public in and for the State of Washington, residing at.......H.~.g.l!.g.k:.............................................
", ,.....~..~-, I. ...~.<.<, C.mm. expires 7/1/77
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(Individual acknowledgment form)
:::n:: :~::::::::::::::::::::::::::::::::::::::::::: }ss.
(Corporation acknowledgment form)
On this................................day or.............................................. ..., 19........, belore me personally appeared....................
........................................................................................................and.................................................................................., to me kno,vn
to be the......................................................................................and..........................................................................01 the corporation
that executed the within and foregoing instrument, ancl acknowledged said instrument to be the Iree and vol-
untary act and deed 01 the corporation, lor the uses and purposes therein mentioned, and on oath each stated
that he was authorized to execute said intrument and that the seal affixed is the corporate seal 01 the
corporation.
In Witness Whereol 1 have hereunto set my hand and affixed my official seal the day and year lit'st
above written. .
...............................................................................................................
Notary Public in and for the State of WaShington, residing at ......................................................................
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STATE OF'~':'r"""}
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County or........r;tv"""".~..........
On this day personally appeared belore me.....&If6.-(f-. ....rt:::.....~~....L..C?..~.................
....... ................................................................. .................................................. ......... .... .... ......to me known to be the individual.2
described in and \~ho executed the within and loregoing instrument and acknowledged that.4.........signed
the sam~as..4/(,'o......free and voluntary act and deed lor the uses and purposes therein mentioned.
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....~Gi~~liiQAtliit- ~ 'I\a, nd and official seal this..........f!.~ ..t.Jt.......day 01 ................ ".. ...... ..... ....., 19..::z.1'
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'O.'J:.;}.~.\.<-;~'
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(IndIvidual ncknowledgmcnt COl'm)
(Corporation acknowledgment torm)
:::~:: ::::::::::::::::::::::::::::::::::::::::::::: }".
On this................................day 01.................................................., 19........, belore me personally appeared....................
........................................................................................................and.................................................................................., to me known
to be lhe......................................................................................and..........................................................................01 the corporation
that executed the within and loregoing instrument, and aclmowledged said instrument to be the Iree and vol-
untary act and deed 01 the corporation, for the uses and purposes therein mentioned, and on oath each stated
that he was authorized to execute said intrument and that the seal affixed is the corporate seal 01 the
corporation.
In Witness Whereol I have hereunto set my hand and affixed my official seal the day and year first
above written.
Notary Public in and for the State of Washington, residing at......................................................................
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STATE OF.....~.~.~!~~.~.~.t.~.~...........,}
ss.
County of........GJ.<l.U.!l!.Q...................
On this day personally appeared belore me........,.A~.~~!:\..J:!.,..g.~~.~!!:r..~.!?!:\..!!:mLU~.~~~.r.,...............................
.....~;;~!!~~!!o.r.~$}j,...:~~.~.9.~!:\!!...~n~..:of.~.f.~............................................................................to me known to be the individuaL;;
dCs<itb"~:;niilri.twlio executed the within and loregoing instrument and acknowledged that.....t!:1~.Y.........signed
,li~;~'GJ1;An$:d:.\..rree and voluntary act and deed lor the uses and purposes therein mentioned.
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Notary Public in and for the State of Washington, residing at,........~.Qf.:t...().lJ~g.~~.~...............................
(IndivIdual acknowledgment form)
(Corporation acknowledgment Corm)
::::: :::::::::::::::::::::::::::::::::::::::::::::}ss.
On this................................day or.................................................., 19........, belore me personally appeared....................
........................................................................................................and.................................................................................., to me known
to be the......................................................................................and..........................................................................01 the corporation
thnt executed the within and loregoing instrument, and acknowledged said instrument to be the Iree and vol.
untary act and deed 01 the corporation, lor the uses and purposes therein mentioned, and on oath each stated
that he was authorized to execute said intrument and that the seal affixed is the corporate seal 01 the
corporation.
In Witness Whereol I have hereunto set my hand and affixed my official seal the day and year first
above written. '
Notary Public In and lor tbe State oC Washington, residing 3t.......................................................................
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STATE OF.~fzf<!;4.'::!'{} !!:::Z}
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County ol......=-rc.'.1.................
On this day personally appeared belore me..../??8.K. .. ..Q:......:~j.f.:.!.Y.."$I.E..cI....................................
........................................................................................................................................................to me known to be the individual....
described in and who executed the within and foregoing instrument and acknowledged thal.....6!.~.........signed
the same as........t.:1'...........Iree and voluntary act and deed for the uses and purposes therein mentiOl].Cd.
. ff' . 1 h' //;tz' d I Q d; .\~~~~:\l!.I,I.~.V.ll
Gwen under my band and 0 IClal sea t IS ..........:... ....:::......: ay 0 .....:;>...,...... .'[r...............;./ ~.~'(:; I : i! / ;",
9)1 .~. -;T'rt <> '., /7Q. '" \
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Notary Public in and Cor the State of Washington, residing ~t-~.~.: t.:.!!:~t..~:..Zi5...;;.{;:.rll~;..:.~.,
"~:');~~T'::-:~ . .
(Individual acknowledgment [ol'm)
(Corporation acknowledgment torm)
~..............'
STATE OF...........................................}
ss.
County or..............................................
On this................................day or.................................................., 19........, belore me personally appeared....................
.......................................................................................... .............and.................................................................................., to me known
to be the......................................................................................and,...........................,.............................................01 the corporation
that executed the within and loregoing instrument, and "cknowledged said inst!'ument to be the Iree and vol-
untary act and deed 01 the corporation, lor the uses and purposes therein mentioned, and on oath each stated
that he was authorized to execute said intrument and that the seal affixed is the corporate seal 01 the
corporation.
In Witness Whereol I have hereunto set my hand and affixed my official seal the day and year first
above :written. .
...............................................................................................................
Notary Public in and for the State of Washington, residing: at .......................................................................
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Coii.n\)<'-qf>Q:"I:\~.~,a................
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.9~thl, 'day jJersona.!JY appeared belore me........ ...=L.~1::I,E. .,;;........L.<5?.4'/.2...........':;t.f:.................
... ../c.'c::./f?:.6?::...........L..--:r.Lk2. .............................................. ...... ......................to me known to be the individual.?
descrihed in and who executed the within and lore going instrument and aeknowiedged that........................signed
the same as...6;"'....Iree and voluntary act and deed lor the uses and purposes therein mentioned.
Given under l~y hand and official seal thiS.........c.::':?:".5ay 01 .....~,.;:::"'.T.........., 19..2.-::;-
...............................~~.......~~~
Notary Public in and for the State of Washington, residing nt.................~.(~a:f.:'::..;!.~.........L
(Individual acknowledgment form)
(Corporntlon acknowledgment form)
:::~:: ::::::::::::::::::::::::::::::::::::::::::::: }ss.
On this................................day or.................................................., 19........, belore me personally appeared....................
........................................................................................................und.................................................................................., to me known
to be the......................................................................................and,.,.......................................................................01 the corporation
that executed the within and foregoing instrument, and acknowledged said instrument to be the free and vol~
untary act and deed 01 the corporation, lor the uses and purposes therein mentioned, and on oath each stated
that he was authorized to execute said int.rnment and that the seal affixed is the corporate seal 01 the
corporation.
In Witness Whereol I have hereunto set my hand and affixed my official seal the day and year first
nbove written. ' '
Notary Public in and for the State of Washington, residing at.......................................................................
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County ol....."...I:1.C.,LI.C!.I.l.<...i!J".
On this day personally appeared belore me..........Qt.D.~1..!l.,....!!9.Y..t...!i:!!g...!1!.r.y....Q.,...Ii9.y.t.....!1!!.~9.!l!!g...~!}!l. wife
......................:-\:.::..;i...............................................................................................,....................to me known to be the individual....
dese~~~~'~~~~~Ai:~:~euted the within and loregoing instrument and acknowledged that.......c-A~?signed
the sllirleJlS\\.ofK'''''':i!:.~Jree and voluntary act and deed lor the uses nnd purposes therem mentioned.
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G1V<ll1 011 d, 'IJ.Y hand and olllClal seal thIS.........f..,...(..c ..........day 01 ......... .-..'.l..kt;t,". . ~ ,..........., 19.........
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Notary Public 'n and for tile State of Washington, residing yt. ...&C:?-~!.2~2.:dd..r.-::::............~
(Individual acknowledgment Corm)
(Corporation acknowledgment Corm)
:::n~: ::::::::::::::::::::::::::::::::::::::::::::: }ss.
On this................................day or.................................................., 19........, belore me personally appeared....................
........................................................................................................and.................................................................................., to me known
to be the......................................................................................and..........................................................................01 the corporation
that executed the within and loregoing instrument, and acknowledged said instrument to be the Iree and vol,
untary act and deed 01 the corporation, for the uses and purposes therein mentioned, and on oath each stated
that he was authorized to execute said intrument and that the seal affixed is the corporate seal 01 the
corporation.
In Witness Whereof I have hereunto set my hand and affixed my olfieial seal the day and year first
above written.
...............................................................................................................
Notary Public In and for the State of Washington, rcsldlng at.........................................;.............................
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STATE oFl.v.:.{'i!::.?11;........(
countyOl.~.#!.Y.:~.:!.~........5". , .' _~ a ,
On this day personnlly appeared belore me}f!. ~?%.."'..' ~'::. ,./...:I......t:lj1..!l!.L..~1'!'\.b.i:!\::.; ,..................
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........,....................................................................................................... ........................................to me known,..l~b<i:ih.ljl\lljv(d~al,...
described in zn,d vho executed the within and foregoing iustrument and neknoWledge{ iJlp~~7.;:~:y,/.~1~~ed
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the same as.. ..............,......lree and voluntary act and deed 101' the Uses and purposes th~ref!l'.Jn..f1Ri~~,\lJ:?i,
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Given under my hand and offleml seal thlS................................day of ...........71:.... .~"..t}.,-...., )... I'~Q,.,".i{' ".
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Notary Fublle In and (or Um State DC Washington, residing nt...../6;.Z...Z~.:.~:~~:!;;~.~-5.::L~.:.::......
(fndlvidual acknowledgment torm)
STATE OF...........................................}
ss.
County or..............................................
On this................................day 01.................................................., 19........, belore me personally appeared....................
..................................................................................................and.................................................................................., to me known
to be the...........:..........................................................................and,.........................................................................01 the corporation
that executed the within and loregoing instrument, and acknowledged said instrument to be the free and vol.
untary net and deed 01 the corporation, lor the Uses and purposes therein mentioned, and on oath each stated
that he was authorized to execute said intrument aud that the seal alfixecl is the corporate seal 01 the
corporation.
In WitDess Whereof I have: hereunto set my hand and affixed my official seal the day and year first
above written. ' .". ' ',,' .
(Corporatlon acknOWledgment Corm)
Notary Public in and for the State or Washington, residing nt.......................................................................
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/o.,n thif day ~ersonalll ppeared ~elore e........,...~:.. ...... /u...~J,!..&................
..........iJ!.,M.;,.,u.....C1.i..y.. . . .. .. )".1. .' .~...~o me known to be t~,e individuaLS'
described in a~bw?o executed the within and loregoing instrument and acknowledged thatd~;.;:s,igned
the same as..,;;wLt.J..V..Iree and voluntnry act and deed lor the uses and \,rposes therei~}'ir~~~~d.,: /,;,
Given under my hand and official seal thiS.........g)tk.......;.day of .....~, .:. .~.,....::....;.:., lO../Y.O'O:
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~otary-Pubiie-in-nrnHoMh~totHl-~~:=t:t[&~~:.. ..... :.{:..~:...:.:::
(Individual acknowledgment Corm)
(Corporation acknowledgment Corm)
::::: :::::::::::::::::::::::::::::::::::::::::::::}ss.
On this................................day 01........................................ ........., 19........, before me personally appeared....................
.................................................................................................nnd.................................................................................., to me known
to be the......................................................................................and..........................................................................01 the corporation
that executed the within and loregoing instrument, and acknowledged said instrument to be the Iree and vol-
untary aet nnd deed 01 the corporation, lor the uses and purposes therein mentioned, and on oath each stated
thnt he wns authorized to execute said intrument and that the senl affixed is the corporate seal 01 the
corporation.
In Witness Whereol I have hereunto set my hand and affixed my official seal the day and year first
above written. .
Notary Public in and Cor the State of Washington, residing at......................................................................
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County 01.........., .....:.
O~daY persona~r l'ppeared belore ")J........~j....[tJ.e~:.tJ.P......~"...................
...........A-.. .......u.,.'...':Ji.~..T'tU.L(e~(J..:d..rLL.tit.I'd!......to me known to be lI~e individualS.
described in allj ~who executed the within and lore going instrument and acknowledged thaL::t~......signed
the same as.~...Iree and voluntary act and deed lor the uses aud purposes thereiii'~~ntio~ed) .
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Given under my hand and official seal thiS..............~, ......day, 01 ........'~,r;; :............,.,I!).7J',~-,
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Nol:u')<.l>uhU, In ,n" In' tJw.Slat&o[-Wa,blngl_ dh.;Jf....:.!.:d7.:4..'I:1u.~........
(IndivIdual acknowledgment form)
(Corporation acknowledgment form)
::.::: ::::::::::::::::::::::::::::::::::::::::::::: }ss.
On this................................day or................................................., 19........, belore me personally appeared....................
........................................................................................................and.................................................................................., to me kno\vn
to be the......................................................................................and. .........,..............................................................01 the corporation
that executed the within and loregoing instrument, and acknowledged said instrument to be the Iree and vol-
untary net and deed 01 the corporation. lor the uses and purposes therein mentioned, and on oath each stated
thnt he was authorized to execute said intrument and that the seal affixed is the corporate seal 01 the
corporation.
In Witness Whereol I have hereunto set my hand and affixed my official seal the day nnd year first
above written.
Notary Public in lmd for the State of Washington, residing 31......................................................................
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STATE OF WASHINGTON, }
COllllt)' of jclTcrsoll ~:'.
Olllhe......;M......day Of.......~,~........,.....................,......., l!).~.."._hcf?..c l1Ie, b~ota..y Pllhlic ill
alld for the Sinle of WashilJl1?"' duly ,'ol1ll1ll"ioIlCd aud s\\'urn. I'e..soualiy l'al1le....g~'...{.~~"...
...............~.~...,..(/~...~~..........................................tOl1lei,uOwu10hel1l(hv"lual~
described iu nud...... ...' ,...c~eculed Ihe wilhiu illstrul1lent aud aclmo\\'l~d~ed to I1IC Ihal......~~.....sigUed
and sealed the sal1le as. .." ... . ' .. ,..free aud volnntary ,al'l and deed for Ihe uses and I'ml'u,es Ihereluu'tln""d.
\Vitness my .~an~JVJ~~ dmciatseal the day and year first abo\'c written.
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VOL
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County of JclTcrson s..
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11 t lC..........;t............( ay u ....................~........,...................................................., 'Ylw,:{ C ore me, a otary Ll) Ie tJ1
and for the State of Washington, dllly cohullissiollcd ilnd sworn, personally l'nmc..................................................................
........................s&':J...~~..~9...~~~/lz,;:::!:.'::...t>...:,lk~.,................,................to Ill' I<"own to he individual......
dClicribcd ill alld......::~~..cxccutcd the within illstrlllUcllt <1IHI aclillowlcclgcd to IIlC llmt.......:T.~y..............sigl1ed
and scaled the sLIme as...:::itt"-i.......frcc <lntl \'ohllltary act and deed for the uses and purposes therein mentioned.
Whl)~~~ .~ilY .ha}ld and officinl seal the day and year first nho\'c written.
,2~g\~:!'!~.~\:;~iiti~<;\ " / ....../~I~~.'.t~~~.5),~71<.,..~..............................
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ST-\TE 01< \VI Jefferson ~' ....................., . ................,......
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I . State of \\ a a 111...... ....... .. . .\ IOwledged I .. mentioneti.
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.. .......J).... ted the wlthm n. I for the nse, nlH
....... .. ......... ,Ae.. ...... 'WI 1nntar)' :let :Inti dee,
1 scrilted in and..... -.P' ..free :lnd \'0. "o\'e written~.
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I sc'lIcd the snl11~._::!:~;-:'}, . . I seal the day and year ~ ~'. ..~ ~.......................
:111<. '-(hit\luld.p.(liCla, ~ ~ .................zr...,.u,j ............
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., Iv.. . COUN ...... . osition" al.. .
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Dated thj._2,~,th._.....da!l af__,FllbJ:,ua.ry
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QUIT=CLAIM
. Ao!.b.";,~;..,,d
DEED
'I'he, !II'<III tar..,fL./wrci II. .....P.,aul.....Sc.l1.,ll._alld....T.inius, ..Soli.a...............
fo)' the t'ollsidcrII tion of_On.e.-=.'::'~~_":'.::::_":.::'.:::.::-..=.=.=.=.':::=,~.~.~~,.~~.~..~:~~~.~.~.~........,I!'!,:oP.';.~.~.."".,.,.....~............................... Dollfll's
(1m] also of bClIC(ils'lo accrue to..."..~.Q..~.m__....._.~.__.....".H.H_...rI,l/ rCI/BOn of 11l!Jillfl Ollt Ill/d cstablishill!lI'. lHlblio rOftll
thl'oll!Jh._.._.!h.~.~_;"___.._...._......._._._..._:..pl'o!lcrt,lj, and 101l;oh is hcroafter tlc.'wtibcfl, COllvo,l/........, rdC(f,'lC......... fflld quit.
claim__.._to the Coul/tll of...............!:!.~.~.~.~!.~!L"..............._..._......... ............................._......8/oto of ll'"shill!lloll, for u,~e of the
Publio forever, as a public }'oad (flld high/cay, fill interest ill .the folloldllfl dC8cI'ilJCll rMl cstate, vi~:
A strip of land sixty feet wide being, thirty feet on either side
of the Center LIn, of the road as surveyed and looated over and
.aor?Bs'the West one half of the Southwest quarter of Section 9.
Township 29. Range 1 East which Center Line is the North linll of
the Southwest Quarter of the Southwest Qu~~r Section 9 and thll
South line of the Northwest Quarter of the Southwest Quarter
Section 9 Township 29 North Range lEast.
sitltalcul in t1lo OOllnty of_M..__......_.......~~.~.f~.!:~~!J......_.....". .... ....._..., State of Washill!lloll.
lI'ITNBSSfJS:
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.....,......_......):~~=~._-
Lowman & Hanford CO.'II nO.\D FOn:\t El (DEED l~On:\l)
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(wd fOl" tfw Stille of Wl/SMllfltOIlJ dill!} cDmllli.~HioIlC(l allrl HICOI'II. jJCI'RD1Hlll,l/ ('1l1ll()....~~..~.......M.....
..._..6:i-:~_......~.......~..........._....M...............M .......lu /lie /;"0"-'11 fa 1m tho individuaL......
de:wtibarl in (lIHI~.._Mc,TCclfterl tILe within illstr/tlllc1It "1Irl l/clmowlcd!IC(l to /lW U/flL..~......Hi!/I1Crllll/(l
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RESOLUl'IOli i!O,
G.-~4
COUiITY RO)jJ P!ll>JECT NO, --12l.-
BEFORE THE BC\A~D C? JEF1'EIlSOH COUN7;- CO;J"ISSICNEHS, STA~E OF \'IASHIIIGTON,
In the matter of Robbina, Mende and
Springer Road
Resolution to lIid81f surface and drE,in
the Robbina, /londe and Springlr road.
:IT IS ':=,;(':8Y TiSSOLVED BY ~'HE BOI,fin OF COUNTY CC<.J.!ISbIWERS that it is th0i,c
: rLcnr,iml to add additional funds to widell surface and drnin t,he Robbins
Heade and Springer road..
tiE I~' FUR':':':"':.~~ r-;.SSCL',IED T~/'.T for the foregoing proper county road purp('lse
~,bc'r'(..: is herc~JY r:.}J..)l'o)')ria:.ed SUl,lS in the follo..dng det.ail:
Gas ';.'ax Funds Donations J etc. O"he,. Total
1.0"-:.. E1lfr'!l :; e $._-- t.
?ignt cf ~'i~y ---
Items of '.~o~k: --.
D",. Labor 7 .000.00 -- --l.illQ ..00
Cont.ract
Canstr ~ 1::0[:1'. --~- ~--_...-
---- ---
Totnl S 7,000.00 ;; i ----..- 'Ll.Qm..m
The connty ro;::..:! purpose !1HI'oin described is HEPJ~B'1 DECL' Rt;D to L'B n public
necessit.y ar.d t.he Count.y 1-:0,,",0 Enrineer is ~ErtE3Y (HDErC~ nm f.1J7!!ORIZED to
report and ~Iroceed t.hereon ns by I.it: provided.
3E I':' :tm"":r...? fi:S(:LVED thnt this purp:;sc bC! peri'or;nlJd by day labor
in accordance: ...1i:.h -+:.11(; St,mdard FtO.;ll nnd I,1ricil'C.: 5)t~ci;"ic(:.t,,>llJnS of t.he ,state
of 'dash::.ngton I1S ~,dopt.:.,:t1 by this 3oard. ...
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.:JBft'D8(lII COUlft'Y. ~
bullbaft4 u4 wife, llIl4
tbe lOar4 .. followl
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ftllt: ',t1Ie,ptUtlonen are the 101. an4 only _n 1n f.. of
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':il ~ abIltt1ft9 upon tbe Itl:..t 01: roa4 bere1nbelow l:equelte4
f1x a cSate for tbe beadng of tb11 'etU10n,
'ca...'4ue noUce of tbe __to be gi.ven 1n tbe fona an4 _el:
racpUnd by law, and tbat tbunplHl tbe lloar4 tHat lai.4 "Utian
aa4i,~" to be v~e4 tbe Itreet_ or roade UKJ:1bed al follo"'l
All of the port1011 of the unn-.d 'tlfset 1n tbe plat
oflfOrdlaa4 1y11l9 an4 bei.ag bet_ Bloclcs ana (1)
MII'.i.x (6) of ,at;:S plat. MIl lyi.lIg ...terly of tbe
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Of..dllla4 1ylng Jaitter1Y;,Of tbe ...ter1y boundar}'
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8IIlS.:~7ingllirKl be111"~ _lock_ PtftSetl (15) 1ID4
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GENERAL PROVISIONS
1. THIS 'ERHIT IS SUBJECT TO Re. 36.75.110, .1QO AND .150 AND AHENOHENTS TNERETO.
2. TliE GRANTEE, ITS SUCCESSORS AtlO ASSIGNS, AGREES TO PROTECT JEFFERSON COUNTY AND SAVE IT liARMl.ESS FROM Al.L
CLAIMS, ACTIONS OR DAMAGES OF EVERY KINO AND DESCRIPTION WHICH MAY ACCRUE TO OR BE SUFFERED BY ANY PERsorJ,
PERSONS, OR PROPERTY BY REASON OF THE PERFORMANCE Of ANY SUCH HORK, CIlARACTER OF MATERIALS USED OR MANNER
OF INSTALL-All ON; IN CASE ANV SUIT OR ACTION IS aROUGtlT AGAINST THe COUNT'{ FOR DAMAGES ARISING OUT OF OR By
REASON OF ANY OF THE ABOVE CAuses, THE PETITIONER, ITS SUCCESSORS OR ASSIGNS HILL, UPON NOTICE OF COMMENCE-
MENT OF SUCH ACTION, DEFEND THE SAME AT ITS SOLE EXPENSE AND SATISFY ANY JUDGEMENT ARISING THEREFROM IF
DETERMINED ADVERSE TO JEFFERSON COUNTY.
3, IF THE GRANTEE ENTERS INTO A CONTRACT OR AGREEMENT WITU A THIRD PARTY TO PERfORM THE WORK AUTHORIZED
~~Di~~ ~ F~~R~~lD ~~~Ml~i~D A~SR~IFE~~ ~H:A~~U~~Y T~t~ ~g~~~g~~~I~~ T~O~H~T~R~e~r~~~~ ~~T~A~:~~l~~12~G:~~eE ~O
q, ~~Y T~~~A~~R~~T ~~ ~fN I~~ gg~~{~~g~~o~N~O~~Q~~~~~~~l~ =i~~:~ geDfiAy~R s~:ltU~5B~~C~H~H~~R~E~~ltH~O G~:~~~~_
LATlON AS HEREIN PROVIDED,
5, DURING THE CONSTRUCTION OF THE FACILITY1 THE GRANTEE SHALL COMPLY WITH THE f:1AItl.lAL.....mLUNIFORH TRAFFIC CONTROL
DEVICES fOR STREETS AND HIGHWAYS PUBliSHED BY THE U.S, DEPARTMENT Of TRANSPORTATION,
6. ON COMPLETION Of SAID HORK HEREIN CONTEMPLATED1 ALL RUBBISH AND DEBRIS SHALL BE IMMEDIATELY REMOVED AND
THE ROADWAY AND ROADSIDE SHALL BE LEFT NEAT AND PRESENTABLE AND SATISFACTORY TO THE COUNTY,
7. THE COUNTY RESERVES THE RIGHT TO ORDER THE CBANGE Of LOC,-,TlON OR THE REMOVAl OF ANY STRUCTURE OR STRUCTURES
AUTIlORIZED BY THIS PEkMIT AT ANY TIME, SAID CIIANGE OR REMOVAL TO BE MADE AT SOLE EXPENSE Of THE PARTY OR
PARTIES TO WHOM THIS PERMIT IS ISSUED. OR THEIR SUCCESSORS AIlD ASSIGNS.
8. ~~~ ~~~~T c~~~~~;ER:~~~N~r~~Cl~~N O~R T~~Lgg~M~~ S B~O~~E A~~A~n~E~~~~L C~~N~~N~H~~L S~~H N~ ~~~E:E A~E~~lt I ~~~~E
FOR ANY DAMAGE TO nlE GRANTEE BY REASON Of ANY SUCH HORK BY JEFFERSON COUNTY. ITS AGENTS OR REPHESENTATIVES,
OR BY HIE EXERCISE OF AllY RIGHTS BY THE COUNTY UPON ROADS, STREETS. PUBLIC PLACES OR STRUCTURES IN QUESTION,
9. THE GRANTEE SHAlL NOTlFV THE COUNTylS REPRESENTATIVE UPON COMPL.ETlON OF THE HORK UNDER THIS PERMIT SO THAT
A fiNAL INSPECTION CAN BY HADE,
SPECIAL PROVISIONS
APPLICABLE PROVISIONS ARE DENOTED BV AN (X)
~o~~~~ug~ I ~~E A~i~~~r Z~~A~~ ~~lgN pI~~I~O: I ~~i~1 T~~D C~~~f~l~E~ 1~~~~oJ~~A~;EMENTS. AT ALl TIMES OUR ING THE
THE APPROACH SHALL BE CONSTRUCTED IN ACCORDANCE WITH THE ATTACHED DESIGN PLATE TYPE_.E:::.J__
APPROACH, A~''..il~FT,LENGTH OF---1~INCH DIAMETER.CULVERT PIPE SHALL BE PlACED IN
DITCH AND LAID TO A TRUE LINE AHD GRADE, THE APPROACH SHALL BE SURFACED TO THE LIMITS AS SHOWN ON
O~~E~~:~G ~~ ~C~f~~:D:A~~R T~~o~p~~?e~~E S~~~~E~~Y I~N~~cg~e~~~E R ~~~~_~~:w:~O~: t~ ~g~T:~L p~~HI~~E~~AN,
TltE APPROACH SHALL BE SUFFICIENTLY SURFACED BACK AN ADEQUATE DISTANCE fROM THE EDGE OF THE PAVEMENT TO
PREVENT ANY MuD TRACKING ONTO HtE CouNTy ROAD. ANY HUO TRACKED ONTO THE COUNTY ROAD SHAlL BE IMMEDIATELV
CLEANED UP BY TilE GRANTEE OR HIS AGENT.
IF NECESSARY TO INCREASE SIGHT DISTANCE, STUMPS ArlO BRUSH SHALL. BE REMOVED FROM BOTH SIDES OF TUE
e:r~~A~~ALL T~~T I~~' ~~:~N~:bE o~U~J~~~y O~o~~R~~~i~~~~W~~~B[R OR 01 Sf IGUR ING OF MY FEATURE OF SCEN IC
WORK SHALL BE RESTRICTED TO THE HOURS BETloj[EN 9:00A,M. AND ~:OOP,M, UNLESS OTHERWISE AUTHORIZED BY THE
ENGINEER.
A SURETY BOND IN THE AMOUNT OF $_ .1 WRITTEN BY A SURETy COMPANY AUTHQRIZeD TO
DO BUSINESS IN TltE STATE OF WASHINGTON, SHALL BE FURNISHED TO INSURE COMPLIANCE WITH ANY AND AlL OF THE
TERM~ AND CONDITIONS OF THIS PERMIT AND StlALL REMAIN IN FORCE UNTIL ALL WORK UflDER THIS PERMIT HAS
8EEN COMPLETED AND APPROVED BY THE COUNTy.
BEFORE ANY lOG ItAULING OPERATIONS BEGIN, A SuRETY BONO IN TIlE AMOUNT Of S. , SHALL
BE FURNISHED BY THE GRANTEE TO PROTECT THE COUNTY AGAINST AAY DAMAGE TO TtIE COUNTY ROAD AND TO INSURE
COHPLCTE REMOVAL OF THE APPROACH AND CLEAtUNG UP Of THE RIGHT-Of-WAY TO THE SATISFACTION OF THE COUNTY.
APPROVAL OF ALL CLEAH UP WORK SHALL BE SE;CURED BEfORE THE BONO WILL BE RELEASED.
o g, SPECIAL CONSIDERATIONS
0 1.
2J. 2.
~ 3.
IBl Q.
0 5.
0 6.
0 7.
Form 113 b
~
.
..
'.
GENERAL PROVISIONS
1. THIS .ERHIT IS SUBJECT TO RCW 36.75.130, .)qO AND .150 AND AHENOHENTS THERETO.
2. TUE GRANTEE, ITS SUCCESSORS AND ASSIGNS~ AGREES TO PROTECT JEFFEhSON COUNTY AND SAVE IT HARMLESS FROM ALL
CLAIHS1 ACTIONS OR DAMAGES OF EVERY KINO AIm DESCRIPTION WHICH HAY ACCRUE TO OR BE SUFFEREu BY ANY PERSQtl,
PERSONS. OR PROPERTY BY REASON OF THE PERFORM^NCE or ANY SUCH WORK, CHARACTER OF HATER tALS USED OR MANNER
OF INSTAL.LATlON; IN CASE ANY SUIT OR ACTION IS DROUGHT AGAINST THE COUNTY FOR DAMAGES ARISING OUT OF OR BY
REASON OF ANY OF THE ABOvE CAUSES, THE PETITIONER. ITS SUCCESSORS OR ASSIGNS WILL, UPON NOTICE OF COMMENCE~
MENT OF SUCH ACTION1 DEFEND THE SAME AT ITS SOLE EXPENSE AIiO SATJSFY ANY JUDGEMENT ARISING THEREFROM IF
DETERMINED ADVERSE TO JEFFERSON COUNTY.
3. IF THE GRANTEE EHTERS INTO A CONTRACT OR AGREEMENT WITH A THIRD PARTY TO PERFORM THE WORK AUTHORIZED
BY THIS PERMIT, THE THIRD PARTY, AS A PART OF THE CONSIDERATION FOR ITS CONTRACT WITH GRANTEE, AGREES TO
INDEMNIFY, HOLD HARMLESS AND DEFEND THE COUNTY IN ACCORDANCE WITH THE PROVISIONS OF PARAGRAPH 2, ABOYE.
~. ~~Y T~~~A~~R~~ T A~~ ~~N I~~ ~g~~i~~g~~o~N~O~~Q~~~~~~~~~ ~~~~:~ ij6D5Ay~R s~:ttU~~B~~ciHiH~~R~E~~1 ~Hio G~:~~~~_
LATlON AS HEREIN PROVIDED.
5. DURING THE CONSTRUCT I ON OF THE FAC I LITY, THE GRANTEE SHALL COMPLY WITH THE I::1At:{UAL...JltLUlilfOBlLlRALEJ.LC.QliIRQ.1.
DEVICES FOR STRFFT!: ANn HIr.1tliAY.5. PUBLISHED BY THE U.S. DEPARTMENT OF TRANSPORTATION.
6. ON COMPLETION OF SAID WORK HEREIN CONTEMPLATED, ALL RUBRISH AND DEBRIS SHALL BE IMMEDIATELY REMOVED AND
THE ROADWAY AND ROADSIDE SHALL BE LEFT NEAT AND PRE.SENTAllLE AND SATISFACTORY TO THE COUUTy.
]. THE COUtHY RESERVES THE RIGHT TO ORDER THE CHAtlGE OF LOCATION OR TIlE REMOVAL OF ANY STRUCTURE OR STRUCTURES
AUHIORIZED BY THIS PERMIT AT ANY TlM(, SAIIl C!lANGE OR REMOVAL To BE MADE AT SOLE EXPENSE OF THE PARTY OR
PARTIES TO WHOM THIS PERMIT IS ISSUED, OR THE.lR SUCCES~lJRS ArID ASSIGNS.
8. ALL SUCH CHANGES, RECOtlSTRUCTlON OR RELOCATION BY THE GRAt/TEE SHALL BE DONE IN SUCH A MANNER AS WILL CAUSE
THE LEAST INTERFERANCE WITH ANY OF THE COUNTY'S WORK AflD JEFFERSON COUNTY SHALL IN NO WISE Bf ItHO LIABLE
FOR ANY DAMAGE TO THE GRANTEE BY REASON OF ANY SUCH WORK BY JEffERSON COUNTY, ITS AGENTS OR REPHESfNTATlYES,
OR By THE EXERCISE OF ANY RIGHTS BY THE COUNTy UPON ROADS, STREETS, PUBLIC PLACES Ok STRUCTUHES IN QUESTION.
9. THE GRANTEE SHALL NOTIFY THE COUNTY'S REPRESEtHATIVE UPON COMPLETION OF THE WORK UNDER THIS PlRMIT SO TliAT
A fiNAL INSPECT! ON CAN BY HADE.
SPECIAL PROVISIONS
APPLICABLE PROVISIONS ARE DENOTED BY AN (X)
~o~~;~ug~ I~~(A~~~~~ Iz~~A~~ ~~l gN p~~~dO~1 ~M~' T~~D c6~~~~~rE~1 ~~~~o~~~A~7EMENTS, AT ALL TIMES OUR ING TltE
THE APPROACH SHALL BE CONSTRUCTED IN ACCORDANCE WITH THE ATTACttED DESIGN PLATE TYPE_. ?-J ___
APPROACH. A L21llL..2..O-FT.LENGTH OF----1..!.---INCtI DIAMETER CULVERT PIPE SHALL BE PLACED IN
DITCH AND LAID TO A TRUE LINE Mm GRADE. THE APPROACH SHALL BE SURfACED TO THE LIMITS AS SHOWN ON
~~~E~~~~G A~~ ~~~F~~:D~A~~R T~~O~P~=~C~~E S~~5~E~iy I~N:gcg~e~~~E R~l~~~~~:w:~O~: t~ ~g~T~~L P~~HW~E~7AN.
TltE APPROACH SHALL BE SUFFICIENTLY SURFACED BACK AN ADEQUATE DISTANCE FROM THE EDGE OF THE PAVEMeNT TO
PREVENT ANY MUD TRACI<ING ONTO THE COUtHy ROAD. ANY MUD TliACKED ONTO THE CoutHY ROAD SHALL BE IMMEDIATELY
CLEANED UP BY TUE GRANTEE OR HIS AGENT.
IF NECESSARY TO INCREASE SIGHT DISTANCE, STUMPS ArlO BRllSt1 SHALL BE REMOVED FROM BOTH SIDEs OF mE
APPROACH, THE INDISCRIMINATE CUTTING OF MERCHAtlTA&lE TIMBER OR DISFIGURItIG OF ANY HATURl or SCENIC
VALUE SHALL NOT DE PERMITTED ON COUNTY ROAD fnGHT~Or-WAY.
WORK SHALL BE RESTRICTED TO THE HOURS BETWEEN 9:00A.M. AND ~:OOP.M. UNLESS OTHERWISE AUTHORIZED BY THE
ENGINEER.
A SURETy BOND IN THE AMOUNT or '_ , WRITTEN BY A SURETy COMPANY AUTHORIZED TO
00 BUSINESS IN TltE STATE OF WASHINGTON, SHALL BE FURNISHED TO INSt/RE COHPLI'ANCE WITH AtlY AND ALL OF THE
TER"~ 4.ND CONDITIONS OF THIS PERMIT AND SHALL REMAIN IN FOR(f UHTIL ALL WORI< UNDER nus PERMIT HAS
BEEN COMPLETED AND APPROYED BY HIE COUNTy.
BEFORE ANY LOG tlAULlNG Or'ERATlONS BEGIN, A SURETY BOND IN THE AMOUNT OF $.______ .., SHALL
B[ FURNISHED BY THE GRANTEE TO PkOTEct THE COurlTY AGAINST ANY DAMAGE TO THE COUNTy ROAD AND TO INSURE
COf'tPl[1E REHQVAL OF THE APPROACH A~D CLEANING UP OF THE RIGHT-Or~WAY TO THE SATISFACTION OF THE COUNTY.
APPROVAL OF ALL CLEAN UP WORK SHALL. BE SECURED BEFORE THE BOND HILL BE RELEASED.
o g. SPECIAL CONSIDERATIONS
0 1.
ie'J 2.
~ 3.
~ q.
0 5.
0 6.
0 7.
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HUSKY
OIL COMPANY
PO BOX 11152. TERMINAL ANNEX
TACOMA . WASH INGTON 9B411
./;',,-:';
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Phone
1206) 922.8761
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