HomeMy WebLinkAboutAffected Owner Affidavit Short Plat No. 2798 - SPL Letters / Memos - 12/23/2011 AFFECTED OWNER AFFIDAVIT
As the owner of Lot (t within Short Subdivision or Large Lot Subdivision# Zj9c6awearethe
owner(s)of the"affected property."Pursuant to MCC 16.36.028.(D).(4)—a copy of which is attached and
which Uwe have reviewed—I/we�hhereby sign to signify our approval of the proposed alteration.
Property Owner: _J U---IV)
State of: .�o
County of d ?q-'20)1
Property Owneor 4-110,
State of UA
County of
On this day,personally appeared before mC103k a,0JLj and ,to me known to be
the individual(s)described in and who execut d the W' ithiln and foregoing instrument,and acknowledged that he
/she/they signed the same as his/her/their free and voluntary act and deed, for the uses and purposes therein
mentioned.
WITNESS MY hand and official seal this day of L�ejo&h 0 j- 20_�_
Notary Public NOTORY PUBLIC IN AND FOR THE STATE
State of Washington OF W .Residing at
KATHLEEN SOINE My Commission
My Appointment Expires Aug 22,2014 expu•es:
MASON COUNTY Shelton (360) 427-9670
DEPARTMENT OF COMMUNITY DEVELOPMENT Belfair (360) 275-4467
Permit Processing/Inspections/Addressing Elma (360) 482-5269
Mason County Bldg.III 426 W.Cedar
P.O.Box 186 Shelton,WA 98584
January 17, 2012
Leonardo Amorelli,
2554 Roberts Ave
Clovis, CA 93611-6288
Re: Reduction in width of easement road
Mr. Amorelli,
Mr. Joshua B. Byerly has requested an alteration in approved short plat
#2798 Afn#635612. Mr. Byerly has requested to reduce the easement road
to 20 feet in width, rather than 30 feet.
In order to reduce the width Mr. Byerly must have a signed and notarized
Affidavit of Affected Owner(s). The purposed change affects your parcel.
Enclosed is an affidavit for you to have your signature notarized and return
mailed.
Please return mail completed document to:
Mason County Community Development
Attn: Permit Specialist
PO Box 186
Shelton WA 98584
Thank you in advance for your prompt response,
Tricia Woolett
Permit Specialist II
tw@co.mason.wa.us
Enclosed: Affected Owner Affidavit
Self addressed stamped envelope
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