HomeMy WebLinkAboutWaiver of Liability - PLN General - 8/12/1997 i
GARY YANDO,DIREC rOR
STgTFO
A O �, DEPARTMENT OF COMMUNITY DEVELOPMENT
U s 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 attributable to the County's decision to take permitting actions despite the risk that changes
to the County's development regulations might later make the County's permitting actions invalid.
Date (Parcel No. or Legal Description)
Pro owne elf
si ture(Notarized)
(or the Coun ,aytept the signature of the owner's authorized agent upon proper proof of authorization)
V
ACKNOWLEDGEMENT CERTIFICATE (INDIVIDUAL)
STATE OF O—a4A:c. --
IF
COUNTY OF ;L A-&-y
On this —Uly of , in the year Lq_U before me Notary Public,
personally appeared r old personally known to me to be the person whose name is
subscribed to this instrument, and ac ecuteci it.
JAN E. WILSON
STATE OF WASHINGTON
WITNESS my hand and official seal. NOTARY---K&JO - For County use only-
®mM �- ''�l Reviewed by applicant on
• (Date)
L� � ram-✓►
Notary's signature Staff Initial:
My Corrunission Expires: 7 - (9 Q co f