HomeMy WebLinkAboutDPC2008-00010 - DPC Letters / Memos - 5/21/2008 DPC # C
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DECLARATION OF PARCEL COMBINATION
This declaration is being made for the purpose of combining two (or more) lots, tracts, parcels,
sites, or divisions within a platted area, represented by two (or more) tax parcel numbers, into a
single lot,tract,parcel, site, or division,represented by a single tax parcel number.
THIS DECLARATION, MADE THIS day of �` _, 20'9 by
(mailing address)
(city}�12—_ (state)\,,1R (zip code)
(day phone)`?.lQQ-y�'�43\3 (evening phone)`74
hereinafter referred to as DECLARANT(S), owner(s) of the real property legally described on
EXHIBIT "A" attached hereto and made a part hereof, who wish(es) to combine the real
property described on EXHIBIT "A"into a single lot,tract, parcel site,or division.
The DECLARANT(S) agree(s) that the real property described on EXHIBIT "A" shall
henceforth be considered a single lot tract, parcel, site, or division and together shall not be
further subdivided without the prior written consent of the Director of Community Development
of Mason County.
IN WITNESS THEREOF, the party(ies) hereto have executed this instrument as of the date first
above written.
PARCEL#'s TO BE COMBINED (12 digits)
APPROVED DATE
Director of Community Development
Page 1 of 3
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