HomeMy WebLinkAboutWaiver of Liability - PLN General - 4/1/1997 GARY YANDO,DIRECTOR
SON.STArFO
s U DEPARTMENT OF COMMUNITY DEVELOPMENT
O T z PLANNING - SOLID WASTE - UTILITIES
N Y BLDG. I • 411 N. 51 ST. • P.O. BOX 578
OJ ��1864 SHELTON,WA 98584 • (360) 427-9670
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.
IP
Date (Parcel No. or Legal Description)
Prope wner's signature(Notarized)
(or the County may accept the signature of the owner's authorized agent upon proper proof of authorization)
=CHERRIENIE
ACKNOWLEDGEMENT CERTIFICATE (INDIVIDUAL) C
TON
STATE OF ���1 lJ� �`--' 15,2000
COUNTY OF Clk
On this / day of Kt(- , in the year)9 3) , before me -i3/ "C— Notary Public,
personally appeared::�6,v-. tc L'{�Ru�1 L��- personally known to me to be the person whose name is
subscribed to this instrument, and acknowledged that he/she executed it.
WITNESS my hand and official seal.
-For County use only-
t\ Reviewed by applicant on
V ' —
(Date)
Notary's signature
Staff Initial:
My Commission Expires:
ON,STgrFo GARY YANDO,DIRECTOR
P�
A°u CA DEPARTMENT OF COMMUN= DEVELOPMENT
N T c PLANNING - SOLID WASTE - UTILITIES
�oJ Y �,oy BLDG. I • 411 N. 51 ST. • P.O. BOX 578
1864 SHELTON, WA 98584 • (360) 427-9670
DISCLAIMER/WAIVER OF COUNTY LIABILITY: PERMIT'S 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 attnlxrtable 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.
sC,
Date (Parcel No. or Legal Description)
El P 0" X- -,j j—
Pro owner's signature(No
(or th unty may accept the signature of the owner's authorized agent upon proper proof of authorization)
FmyUOMMiss!On
ACKNOWLED-�GE`IENT CERTIFICATE( HERRIE B.BINNIE
INDIVIDUAL) NOTARY PUBLIC
STATE OF W A h 1 r1 G. STATE OF WASHINGTON
\ Expires Oct.15,2000
COUNTY OF
On this I a day of , is the year 191? before me L°.1��cC��1` t rJ a 1 L Notary Public,
personally s eared p 14 23 l_ (,�q o ke U personally known tome to be the person whose name is
subscribed to this instrument, and acknowledged that he/she executed it.
WITNESS my hand and official seal.
- For County use only-
Reviewed by applicant on
Notary's signature
(Date)
My Commission Expires: 5_ ,Q c)d U Staff Initial: