HomeMy WebLinkAboutWaiver of Liability - PLN General - 10/6/1998 GARY YANDO,DIRECTOR
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M U y DEPARTMENT OF COMMUNITY DEVELOPMENT
NT c PLANNING -SOLID WASTE-UTILITIES
Y Y BLDG. I * 411 N. 51"ST. • P.O. BOX 578
rasa SHELTON,WA 98584 • (360)427-9670
..
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
Eer's
ns in acceptance, processing and/or issuance of such permits or approvals (hereinafter"permitting
ach ges are attributable to the County's decision to take permitting actions despite the risk that changes
to tlopment regulations might later make the County's permitting actions invalid.
Dat (Parcel No. or Legal Description)
nature(Notarized)
(or the County may accept the signature of the owner's authorized agent upon proper proof of authorization)
10►1�r• '�
ACKNOWLEDGEMENT CERTIFICATE (INDIVIDUAL) 2•• NOTAgy }".
PUBLIC
STATE OF cPj. O.06 9 91 d--
COUNTY OF Ct.cXyl \ OF WASkAN
On this�day of , in the yea�1� before mel_k j!Zb ra Notary Public,
personally appeared ,' .W i WR- personally known to me to be the person whose name is
subscribed to this instrument, and acknowledged that he/she executed it.
WITNESS my hand and official seal.
-For County use only-
Revie ed by p 'c¢nt n
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Notary's signature Initial.
My Commission Expires: