HomeMy WebLinkAboutWaivers of Liability - PLN General - 12/6/2000 i
' GARY YANDO,DIRECTOR
�0 SrgTF
- o
so DEPARTMENT OF COMMUNITY DEVELOPMENT
N = PLANNING - SOLID WASTE - UTILITIES
�o N Y o~ BLDG. I • 411 N. 51 ST. * P.O. BOX 578
SHELTON, WA 98584 • (360) 427-9670
1864
DISCLAIMER/WAIVER OF COUNTY LIABILITY: PERMITS ON EXISTING LEGAL LOTS OF RECORD,
LAND DIVISION APPROVALS, SHORELINE PERMITS, VARIANCES, AND SPECIAL USE PERMITS:
The undersigned property owner is aware of the uncertainty regarding Mason County's development regulations created
by the Growth Management Hearings Board's Order of September 6, 1996, and in consideration of Mason County's
willingness to proceed with processing of applications which might be affected by that Order, the undersigned property
owner hereby agrees to waive any lawsuit, action, or claim for damages against Mason County which may arise out of
Mason County's actions in acceptance, processing and/or issuance of such permits or approvals (hereinafter"permitting
actions"), which damages are attnbutable to the County's decision to take permitting actions despite the risk that changes
to the County's development regulations nvohr 1-fer make the G;:n:y's permtting actions invalid.
y- iq -y1 3o-0d 3s--0 o 10,:q,6 A X64d ,
Date (Parcel No. or Legal Description) a�
Property owner's si ture(Notarized) ���CjQy-)
(or the County may accept the signature of the owner's authorized agent upon proper proof of authorization)
ACKNOWLEDGEMENT CERTIFICATE IF{C,AATE\(INDIVIDUAL)
&
STATE OF I � rpt�D�k'11�N1\� LI�V
COUNTY OF tvQ 1
On this[Sday of , in the y--e�a77�'r,, l before me [��J E��� �►� Notary Public,
personally appeared ��km N Ye=sonaUy mown to me to be the person whose name is
subscribed to this instrument, and acknowledged that he/she executed it.
W;1 MESS mluu d and official seal.
-For County use only-
Reviewed by applicant on
(Date)
kalry's sigmtture (� `�j �n, __ —\ Staff Initial:
My Commission Expires:
liiCy:ll:i1
srgTFo� GARY YANDO, DIRECTOR
s0
U DEPARTMENT OF COMMUNITY DEVELOPMENT
T _
o = PLANNING -SOLID WASTE - UTILITIES
�oJ N Y boy BLDG. I • 411 N. 51 ST. • P.O. BOX 578
1864 SHELTON, WA 98584 • (360) 427-9670
DISCLAIMER/WAIVER OF COUNTY LIABILITY: PERMITS ON E7USTING LEGAL LOTS OF RECORD,
LAND DIVISION APPROVALS, SHORELINE PERMITS, VARIANCES, AND SPECIAL USE PERMITS:
The undersigned property owner is aware of the uncertainty regarding Mason County's development regulations created
by the Growth Management Hearings Board's Order of September 6, 1996, and in consideration of N4ason County's
willingness to proceed with processing of applications which might be.affected by that Order, the undersigned property
owner hereby agrees to waive any lawsuit, action, or claim for damages against Mason County which may arise out of
Mason County's actions in acceptance, processing and/or issuance of such permits or approvals (hereinafter "permitting
actions'), which damages are attnbutable to the County's decision to take permitting actions despite the risk that changes
to the County's development regulations night later mane the County's permitting actions invalid.
3a3o33- s-o- o ) 6,
Date (Parcel No. or Legal Description)
Property owner's signature rued)
(or the County may accept the signature of the owner's authorized agent upon prope&,p&paf of authorization)
s ENE P :�
ACKNOWLEDGEMENT CERTIFICATE (INDIVIDUAL) �_: NOTARY
STATE OF A,U rP BUGO 9 S
0
s . •
�t y •.•• 6�••.•
COUNTY OF ()FWA91A\' `
On this Iday of , in the year before me Notary Public,
personally appeared \ personally known to me to be the person whose name is
subscribed to this instrument, and acknow edged that he/she executed it.
WITNESS my hand and off to seal.
- For County use only -
Revi wed by applicant on
Notary's signature (Date)r`
My Commission Expires: ,l Staff Initial: