HomeMy WebLinkAboutCERTIFICATE OF RESIDENTIAL USE - OTH Recorded Documents - 5/9/1995 MAY 09VA
CERTIFICATE OF RESIDENTIAL USE
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� nn EARTH SERVICES
1, l� V✓6 - hereby acknowledge, that the residence located on
Mason County Assessor's Parcel Number ''+,22_0 _ -•2A) - 0 0 2 6 C) has no more
than c_bedrooms.
I understand that my on-site sewage disposal system was designed and my building
permit was issued on the basis of this number of bedrooms, and use of additional
rooms in the residence as bedrooms could result in overload and premature failure
of my on-site sewage disposal system. Furthermore, I understand that usage of
additional rooms in the residence as bedrooms could result in Mason County taking
steps to cause the vacation of said premises.
Prior to remodeling or replacement of said residence, I agree to obtain the
appropriate permits for expanding my on-site sewage disposal system.
3�J day of � 7 G DATED this
Legal Owner of Propeerty9
on this day personally appeared before me GAl-' - GUyk S , to me known
to be the individual described in and who executed the within and foregoing
instrument, and, acknowledged that �NC—� , signed the same as
,{ , free and voluntary act and deed, for the uses and
purposed therein mentioned. 77 14 II^^��77 ✓
GIVEN under my hand and offi this J day. of YVI P1
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r� ,OTgq P, . No ry is
��A,OF�'U BLIC��.= Expiration Date: IZ'OZ_q
F G County residing in EZe�eti u�
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