HomeMy WebLinkAboutWaiver of Liability - PLN General - 7/29/1999 d GARY YANDO,DIRECTOR
yON.STA-
s o _ DEPARTMENT OF COMMUNITY DEVELOPMENT
O T Z PLANNING-SOLID WASTE-UTILITIES F1 E C E I V E D
N Y BLDG. I • 411 N. 5TH ST. a P.O.BOX 578
of rssa.. �o SHELTON,WA 98584 • (360) 427-9670 DEC m 9 1996
MASON CO. DCD
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 rty o er's signature(Notarized)
(or the Co ty may accept the signature of the owner's authorized.agent upon proper proof of authorization)
r
ACKNOWLEDGEMENT CERTIFICATE(INDIVIDUAL)
(IINDIVIDUAL)
STATE OFrV
COUNTY OF ASO,
On this j;:j!day of J2 Lm the yearl before me Notary Public,
�/�'!��/� personally known ra me to be the person whose names
personally appeared�d'1
subscribed to this instrument,and acknowledged that he/she executed it.
WITNESS my hand and official seal. -For County use only-
Reviewed by applicanf on
(Date)
Notary's signature -f� ��jj Staff Initial:
My Commission Expires: / _/