HomeMy WebLinkAboutNOTICE TO FUTURE PROPERTY OWNERS OF PRIVATE TWO PARTY WATER SYSTEM - OTH Recorded Documents - 6/14/2022 2183118 MASON CO WA
06/14/2022 12:09 PM NOTCE
Return To SCHMIESSING #176102 Rec Fee: $204.50 Pages: 2
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Grantors : 1 �� ►M �� , (2) t.L)
Grantee(s): (1) PUBLIC �.
Legal Description (1) S L ) ."I,M MW Vt .c )‘‘)^ Zl 1 z W
(Abbreviated form:i.e. lot, block, plat or section, township, range)
Assessor's Tax Parcel: (1) Z 7 i I - 3 - 9 0 o
NOTICE TO FUTURE PROPERTY OWNERS OF PRIVATE TWO-PARTY WATER SYSTEM
I (We)the undersigned grantor(s), certify that the water source located on the above-described
real estate under Legal Description (1)and Assessors Tax Parcel (1) situated in Mason
County, State of Washington, has been designated to serve a source of water to the following
parcels situated in Mason County, State of Washington; herein described:
Tax Parcel: (Connection 1) 2 2. 1 z S - z. - g o d (
Tax Parcel: (Connection 2) 2_ Z 1 2— - 2_ 3 - 0 0 I I
The system owner is responsible for keeping this system in compliance.
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The name of the water system is: 1 M E CJ 0'04-
This system is designed to provide for two service connections. Planning and design approvals
must be obtained from the department prior to expanding beyond this number of services.
Additionally, a water right, obtained from the Department of Ecology, is required if the water
system exceeds exemption standards.
This system(has/has not) been granted one or more waivers from specific provisions of the
regulations.
Dated on this / day of `/YV , 20Jc)
Signature of Grantor(s):
(1) RA.9 (2) Ck
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State of Washington )
County of Mason ) .
I,the undersigned, a Notary Public in and for the above na Ad
State,do hereby
ce ' that on t 's �'i day of_ , 20 V
r/ J 3G h ril e i.S--r�`�%ally appear • a •re me,who is known to be
signer of the above instrument, and acknowledged t r• ' - ,hey)signed it.
GIVEN under my hand and official seal the day an. -- - -bove written.
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,..eoce1a K$et,,,,, • Nota ,blic a d fori1e State f 5f /W ington,
P,y„,-", 70-•s esidi at \�X I , 14-1
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•0 v' ' I. . .mmission expires: /O/a--(o a7C.;`5
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2183118 Page 2 of 2 06/14/2022 12:09:56 PM Mason County, WA