HomeMy WebLinkAboutWaiver of Liability - PLN General - 5/30/1997 GARY YANDO, DIRECTOR
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SA U DEPARTMENT OF COMMUNITY DEVELOPMENT
0 Y �? PLANNING - SOLID WASTE - UTILITIES
BLDG. I • 411 N. 51 ST. • P.O. BOX 578
1864 SHELTON, WA 98584 • (360) 427-9670
DISCLADF-R/WAIVER OF COUNTY LIABILITY: PERMITS ON EXISTING LEGAL LOTS OF RECORD,
LAND DIVISION APPROVALS, SHORELINE PERMITS, VARIANCES, AND SPECIAL USE PERAIITS:
The undersigned property owner is aware of the uncertainty regarding Mason County's development regulations created
by the Growth Management Hearings Board's Or, er 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 "perniitting
actions'), which damages are aunbutable to the County's decision to take permitting actions despite the risk that changes
to the County's development regulations nught later mane the County's permitting actions invalid.
Date arcel No. or Legal Description)
Property owner's i ture(Notarized)
(or the County accept the signature of the owner's authorized agent upon proper proof of authorization)
ACKNOWLEDGEMENT CERTIFICATE (INDIVIDUAL)
STATE OF
COUNTY OF
On this_day of , in the year , before me Notary Public,
personally appeared 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 -
Review b pl' u n
Notary's signature (D e)
My Commission Expires: Staff Initial: