HomeMy WebLinkAboutWaiver of Liability - PLN General - 7/20/2001 RECEIVED
oN� STArFo
AUG 14 1997 GARY YANDO,DIRECTOR
'O C
MASON
M o
AU DEPARTMENT OF CO
� �NC DEV
ELOPMENT
S T 2 PLANNING - SOLID WASTE - UTILITIES
0 N Y y BLDG. I • 411 N. 5"-' ST. • P.O. BOX 578
�° SHELTON, WA 98584 • (360) 427-9670
1864
DISCLA VIERIWAIVER 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
and/or issuance of such Permits or approvals (hereinafter"permitting
s ions ' acceptance, processing PP
Mason County act to plan , p g Pe .
.., .t. _ _ - d- to f�k2 .u.-.r,:H: —t;nn, fries fhr nck that chances
tlLtlV lld'�, Y.'Lalal llnai./il$l:J nl C.u..li iJli.c 11 W :u�- wuutf' ...,,.._.... .. - -
to the County's development regulations might later make the County's permitting actions invalid.
&, -7 1' -31 6 -� �`c`
Date (Parcel No. or Legal Description)
�T o 7
2
o wner's signs re otarized)
(or the County may accept the signature of the owner's authorized agent upon proper proof of authorization)
ACKNOWLEDGEMENT CERTIFICATE (INDIVIDUAL)
STATE OF s
COUNTY OF �tA c"C,
On this 13 6day of Lt.( , in the year, before me 4- Notary Public,
..�t.^. ..e to 1... tl.e.
suhsc;nued ;tLr instrume.,-t, and acknowledged that he/she executed it.
W-i-N;SS my tmn- and official seal.
-For County use only-
• Reviewed by applicant on
(Date)
Notary's signs re
My Commission Expires: -o�`� Staff Initial: