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Return Address: <br />City of Tukwila <br />ATTN: City Clerk <br />6200 Southcenter Blvd <br /> <br />20121130002448 <br />CITY OF TUKWIL EAS 138.00 <br />PAGE -001 OF 016 <br />11/30/2012 15:05 <br />KING COUNTY, WA <br />1 <br />r <br />Please print or type information WASHINGTON STATE RECORDER'S Cover Sheet (RCW 65.04) <br />Document Title(s) (or transactions contained therein): (all areas applicable to your document must be filled in) <br />1. ACC, SS y.11► -l— c hiett t- ,Lo cc., 2. <br />3. 4. <br />Reference Number(s) of Documents assigned or released: <br />Additional reference #'s on page of document <br />Grantor(s) Exactly as name(s) appear on document <br />1. S'.e 61,0--t Frei .1-t_../). L , <br />2. , <br />Additional names on page of document. <br />Grantee(s) Exactly as name(s) appear on document <br />1. C(.�1 j Of 'Te,t kr tl f (---, , <br />2. VJ , <br />Additional names on page of document. <br />Legal description (abbreviated: i.e. lot, block, plat or section, township, range) <br />}for -i-Lm v,-( Sec hcam. 35, 2ctri.. 23 &, !vc.,11$Jiip OVA) <br />Additional legal is on page ) of document. &?(h 0t•f5 /i A-2. 0- 2 <br />, <br />Assessor's Property Tax Parcel/Account Number ❑ Assessor Tax # not yet <br />assigned 352304 _90/4) 35a - '9'i5.) 3523v,1 -y°Ft) 35 2_3,01i -yog-a, <br />352.;0L1 —gilt-, <br />The Auditor/Recorder will rely on the information provided on this form. The staff will not read the document <br />to verify the accuracy or completeness of the indexing information provided herein. <br />"I am signing below and paying an additional $50 recording fee (as provided in RCW 36.1.8.010 and <br />referred to as an emergency nonstandard document), because this document does not meet margin and <br />formatting requirements. Furthermore, I hereby understand that the recording process may cover up or <br />otherwise obscure some part of the text of the original document as a result of this request." <br />Il? L (1i : 4V fd <br />Note to submitter: Do not sign above nor pay additional $50 fee if the document meets margin /formatting requirements <br />Signature of Requesting Party <br />