HomeMy WebLinkAboutNOTICE TO FUTURE PROPERTY OWNERS OF PRIVATE TWO-PARTY WATER SYSTEM - OTH Recorded Documents - 11/29/2023 2204971 MASON CO WA
11/29/2023 11:26 9M NOTCE
ROBEERTT PPpA1RSEE *192952 Rao Fee: 5204 50 Pages. 2
Return To
601>e H. Q.ytfr
3 D93 5- f"-jc v $c.yv.— Rre
&rctetV;tu9 IrDo— qrcif(e
Grantor(s): (1)I v D..r r ,4- P .- ssi , (2)
Grantee(s): (1) PUBLIC
Legal Description (1) S N —
(Abbreviated form:i.e. lot, block,plat or section, township,range)
Assessor's Tax Parcel: (1) 3—a l o y - I - '1 o ) O I
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)a_ 2, I . o c( - I a - 9 o I o 1
Tax Parcel: (Connection 2) 2 I C o1 - i - q D 1 D 1
The system owner is responsible for keeping this system in compliance.
The name of the water system is: Pay SSC 161 L-1 O
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 1 H /' day of 10'o o_ , 20 a3.
Signature of Grantor(s):
(1) 14-fetiJ (T C , (2)
Page 1 of 2
State of Washington )
County of Mason )
I, the undersigned, a Notary Public in and•�-�for the above named County and State, do hereby
' '
certify that on this IN day of Crvtl4tf , 2023 ,
Q obi,i{ 2cucs4 personally appeared before me, who is known to be
signer of the above in4trument, and acknowledged that he (she) (they) signed it.
GIVEN under my hand and official seal the da .•• ear last :•ove ri r-•
Or
a
• �.. •r the State of Washington,
a ' � i . _ , .. /
p\Cy`STAyR�j�O My commission expires: C-,0 - 2-7
�1Q::VSWn`io�,t,O
F \tr1o?, su.
E. (V to0TARP ;
12
\ Puue jig_
:0
'• -1):F6FWsS.... :
Page 2 of 2