HomeMy WebLinkAboutNOTICE TP FUTURE PROPERTY OWNERS OF PRIVATE TWO-PARTY WATER SYSTEM - OTH Recorded Documents - 10/26/2023 2203807 MASON CO WA
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CESIREE GILCHRIST R192000 Rec Fee $204.50 Pages 2
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Grantor(s): (1) ,) $//ZEE 6/LCfjleAST, (2) 77I65OHI✓ N'1Et5E9_
Grantee(s): (1) PUBLIC
Legal Description (1)� Lf SEG 17t'(23f'L�Rtu) uth PA LDTL SPtkzlt
(Abbrevi to form:i.e.i.e lot, block, plat or section, township, range)
Assessor's Tax Parcel: (1) 1 2 3 / / - /714-Q 40 0 9 P
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: /3
Tax Parcel: (Connection 1) / 2 3 / 7 - �7/�- F� /t '9
Tax Parcel: (Connection 2) / 2 3 / 7 - 7 - 9 40 v 9 0
The system owner is responsible for keeping this system in compliance.
The name of the water system is: 1Z5i2&E 4/LL'/f/Llc3T
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. 2" o
Dated on this / day of`"4 CR
erit ,F-; 20 23
Signature of Grantor(s): •
., /,,
(1) Affi e...[J/ may/ , (2) l(WW&A*_-
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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 day of SG Pi-e W4 kt✓ , 2021
Pe SYee G..l Ckr."SI- 4) Ike,Pef. M eSSt✓ personally appeared before me, who is known to be
signer of the above instrument, and acknowledged that he (she)(they)signed it.
GIVEN under my hand and official seal the day and year last above written.
`‘JVPIII KRUG, G Notary Publi in and for the State of Washington,
. ?STAR.
,zmEr"r residing at L5 0l ge-tri R1 P9
'Nornq c.
My commission expires: 3rtitr 25f 2.c2%
PUSLIC
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