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Grantor(s): (1) � ��(� ���1� , (2)
Grantee(s): (1) PUBLIC �L #L;2--54 L I /
Legal Description (1 Eyv�,3Ykno Uu�'/2.5►2[.Exnu�,��)�x"�W%z nEb of Coed
(Abbreviated form:i.e. lot, block,plat or section, township, range)
Assessor's Tax Parcel: (1)a�>Z2—?—)-- Z tL--QV () 19, U
TITLE NOTIFICATION OF WATER RESOURCE INVENTORY AREA (WRIA)
I (We), the undersigned grantor(s), hereby place this notice on record that the described real
estate situated in Mason County, State of Washington is subject to water use restrictions and
conditions set by Washington State Senate Bill 6091 and Mason County Code 6.68. These
restrictions and conditions are based on location of property and/or Water Resource
Inventory Area or WRIA.
WRIA: H
Maximum Annual Average Gallons Per Day: "T-20 gallons
Dated on this day of , 20
Signature of Grantor(s):
(1) , (2)
State of Washington )
County of Mason )
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I, the undersigned, a Notary Public in and for the above named County and State, do hereby
certify that on this day of , 20
personally appeared before me,who is known to be
signer of the above instrument, and acknowledged that he (she) (they) signed it.
GIVEN under my hand and official seal the day and year last above written.
Notary Public in and for the State of Washington,
residing at
My commission expires:
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