HomeMy WebLinkAboutAddendum to Certificate of Non-Conforming Development - BLD Letters / Memos - 11/15/2014 2025931 MASON CO WA
06/12/2014 02:13 PM ADDEM
MASON CO DEPT OF COMMUNITY DEV #74469 Rec Fee $72.00 Pages 1
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RETURN DOCUMENT TO:
Mason County Department of Community Development/Building Division
Attn: Barbara Adkins
426 West Cedar St, Shelton, WA 98584
Addendum to Certificate of Non-Conforming Development
Taxpayer / Title Owner, Current: Richard & Gertrude J Medeiros Life Estate
Taxpayer / Title Owner, At Time of Violation: Richard Medeiros
Site Address: 2485 NE Old Belfair Highway, Belfair, WA
Legal Description: Tr 1 of SE NE & S W NW
Parcel No.: 12317-14-00010 vI-?_7;'7)21
The recording of this document amends and releases AF#648747 regarding the non-
conforming structure identified as a 1965 55-ft. x 10-ft. Rex Mobile Home that was
placed on the parcel without required permits. An inspection was performed on June
11, 2014, to verify that the structure has been demolished. The inspector confirmed
that the structure has been demolished.
Dated this 14th day of June 2014.
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Barbara Adkins
Director
Mason County Department of Community Development
I certify that I know or have satisfactory evidence that Barbara Adkins is the person who
appeared before me, and said person acknowledged that she signed this instrument
and acknowledged it to be her free and voluntary act for the uses and purposes therein
mentioned in this instrument.
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Given under my hand and official seal this 12 th day of June 2014.
Notary Public
State of Washington
DEBBERA COKER
MY COMMISSION EXPIRES
11/15/2014
NOTARY PUBLIC in and for the State
of Washington, residing at Shelton .
My term expires //— / 5- jo/(4 .
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