HomeMy WebLinkAbout2000 - Short Plat - Holttum Carl / Holttum Linda - 2000070500179920000705001799
Return Address:
City of Tukwila PAGE 001 OF 003AG 10.00
Department of Community Development 07/05/2000 15:34
RECEIVM00 Southcenter Boulevard KING COUNTY, WA
Tukwila, WA 98188
JUL 17 2000
COMMUNITY
DEVELOPMENT
SHORT PLAT NUMBER L2000 -016 CITY OF TUKWILA, WASHINGTON
Grantor(s): Holttum Carl
Last Name First Name
Holttum Linda
Last Name First Name
Additional grantors on page _ of document.
CFI
Grantee(s): The Public
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Assessor's Property Tax Parcel or Account Number(s): 167040021500
° Legal Descriptions:
° Before the Short Subdivision:
C•4
See attached site plan cover sheet
After the Short Subdivision:
See attached site plan cover sheet
Reviewed and approved by the Short Subdivision Committee and hereby certified for filing this
201' day of ivNE , 20cX7 .
Chairman, Short Subdivision Committee
Page 1 of `{
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MEMORANDUM
TO:. Jim Morrow via Joanna Spencer
Tom Keefe via Mike Alderson
FROM: Art Pederson
RE: Holttum Short Plat
DATE: June 14, 2000
FILE: L2000 -016
The above referenced short plat is ready for final approval.
Attached are the documents for recording. Please review these materials and indicate
Lg.) your approval by signing the plat. Jim Morrow and Tom Keefe, please indicate your
approval by putting your initials next to your name below. If you do not approve,
o indicate any additional requirements below.
Approved by Tom Keefe � _ (initials)
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Approved by Jim Morrow 0-13) (initials)
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CITY OF TUKWILA
Department of Conununity Development
6300 Southcenter Boulevard Tukwila, WA 98188
Telephone: (206) 431 -3670 FAX (206) 431 -3665
E- mail: tukplanaci.tukwila.wa.us
AFFIDAVIT OF OWNERSHIP AND HOLD HARMLESS
PERMISSION TO ENTER PROPERTY
STATE OF WASHINGTON
ss
COUNTY OF KING .
The undersigned being duly swum and upon oath states as follows:
1. I am the current owner of the property which is the subject of this application.
2. All statements contained in the applications have been prepared by me or my agents and are true and correct to the best of my
knowledge.
3. The application is being submitted with my knowledge and consent.
4. Owner grants the City, its employees, agents, engineers, contractors or other representatives the right to enter upon Owner's real
property, located at ��..� ( So / (W 5 776-/-- p, :1 1244-- 1F/a
for the purpose of application review, for the limited time necessary to complete that purpose.
5. Owner agrees to hold the City harmless for any loss or damage to persons or property occurring on the private property during the
City's entry $pn the property, unless the loss or damage is the result of the sole negligence of the City.
6. The City shall, at its discretion , cancel the application without refund of fees, if the applicant does not respond to specific
requests for items on the "Complete Application Checklist" within ninety (90) days.
7. Non - responsiveness to a City information request for ninety (90) or more days, shall be cause to cancel the application(s) without
refund of fees.
EXECUTED at
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On this day personally appeared before me t. I 1 01 to me known to be the individual who
executed the foregoing instrument and acknowledged that he/she signed the same as his/her voluntary act and deed for the uses and
purposes mentioned therein.
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SUBSCRIBED AND SWORN TO BEFORE ME ON THIS
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