HomeMy WebLinkAbout2004-027 Bldg Agrmt - Forsyth, ck on co.n[y ecords 2004-017770
R-A
Cnt=~ Stn=3 MORGANs~410~I2004 1 1:59:06 AM
This Js a no fee document
NO FEE
1/11111111111/11/I/111111111111111111111111111111
0~ 0~ 9093200400~ 77700020029
I, ~athleen S. ~ecke~. Cou~ C~erk for Jackson Co ,
ce~ that the ~nst~ment identified he~jn Was rec unty Oregon,
~rded in the Cterk
Nathlee~ S. Beckett - County Clerk
P.81
tDri'Y OF ASBuum, IBEBIN
OWNER: Douglas Forsyth
OWN;R: Margaret Forsyth
PROPERTY: _ 3~
TWP
ADDRESS: 515 Cheyenne Drive, Sunnyvale, CA 94087
ADDRESS: 515 Cheyenne Drive, Sunnyvale, CA 9408?
RANGE~ ' M~ F TAX LOT # (s)
STREET ADDRESS:. eS Gt-nite Sl~eet. A.~hlaq~',..~
AS the owner(s) of the property listed above, I/W~ hereby c, onse~t to the following im~ovements, dedication, or other actions
as required by the City of Ashland, and agree tO bear the propodlonate payment of assodated costs, This Agreement Is to
be blndin~ upon myself/ourselves, my/our heir(s), executors, and assigns, and it is my/our exl:~'es8 Intention that this
Agreement shall run with the lend, so that fulfillment of the items listed below shall be binding upon future owners of the
property.
IMPROVEMENT, DEDICATION OR OTHER ACTION:
? ,
...................... 'j~T PUBLIO FOR OREGON -]~.- (,:' x
OFFICIAL S,EAL .
COMMISSION EXPIRES..
KIMBERLY JENSEN ', {. ~ ~'.
NOTARY PUBLIC ~ OREGON ~
COMMISSION NO. 372796 ,~
MY COMMISSION EXPIRES SEPT. 18, 2007 ~
This document has been acknowledged by Susan Yates on behalf of the City of Ashland.
Susan Yates, Execj~tive Secretary
Date: April 2, 2004
STATE OF OREGON )
County of Jackson )
On this 2nd day of April, 2004, before me personally appeared Susan Yates, whose identity was proven to
me on the basis of satisfactory evidence to be the person whose name is subscribed to this instrument, and
acknowledged that she executed the same.
N0~/~Y P,UBL-IC FOR OREGON
MY COMMISSION EXPIRES:
9-