HomeMy WebLinkAboutDisclaimer/Waiver of County Liability - PLN General - 3/11/1999 GARY YANDO,DIRECTOR
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OCT 0 3 1997
MASON
M o q DEPARTMENT OF COMffb QDEVELOPMENT
SU i
N PLANNING - SOLID WASTE - UTILITIES
� N Y oy BLDG. I • 411 N. 5`' ST. • P.O. BOX 578
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SHELTON, WA 98584 • (360) 427-9670
186A
DISCLAI1VVIEER/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 u, 1996, aixi .. ,
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
decision to take permitting actions despite the risk that changes
which es are attributable to the County's Pe g
actions .
to the County's development regulations might later make the County's permitting actions invalid.
0(!4�a7z Vk;Z3�P 4 - '-7(, q 0 /-7
Dat (Parcel No. or Legal Description)
Property owner's signature(Notarized)
(or the County may accept the signature of the owner's authorized agent upon proper proof of authorization)
ACKNOWLEDGEMENT CERTIFICATE (INDIVIDUAL)
STATE OF �� -
COUNTY OF Sep �j
On thisc2',4 day of fig', in the year M !3 before me ��i -Z �otary Public,
s red
personally
ct d� rsonally known to me to be the person whose name is
personally ppc.a �QiL F ate_
subscribed to this ieLfnjment, and acknowledged that he/she executed it.
WITN '�ZS my t cad and official seal. - For County use only-
Reviewed by applicant on
(Date)
Notary's signature Staff Initial:
My Commission Expires: �� 9