Permit Support Document MSr2C520- cot
City of Tigard
1 FINANCE DEPARTMENT
IGARD Systems Development Charge (SDC) Exemption Application
REQUEST FOR ACCESSORY DWELLING UNIT SDC EXEMPTION
(Allowed under TMC 3.24.100.E)
Note:Refer to TMC 3.24.180 and the Systems Development Charge(SDC)Exemptions for Accessory Dwelling Units
Guideline for eligibility requirements before completing application. City Transportation and Park SDCs exemption
only.
REQUIRED SUBMITTAL
PROPERTY INFORMATION ELEMENTS
Name of property owner: �Y/�L,>�✓ti &me\ It) Recorded Deed Restriction:
VA[N1(� .ro1 L• (3Unvo [1 Legal Description of Property
I] Estimate of Exempt SDCs
Location (address if available): 11714 Q Sw $ S A vo
�l�a ``11Proof of Ownership/
v'f)l -21-i Authorized Representative
Tax map and tax lot numbers: }��i✓b d r+dl QGgy1 S I ccc,e LO4- Ack.20 Te • 1. A oo
Tyne of Unit Total Units I Square foota&e of each unit
Attached ADU
Detached ADU ( � (.D 2 . 2--5---�___..
APPLICANT INFORMATION
Name,as appears on title of property: k l7�SOY1 L• r a Y1 Vl I2 (01/1(Kr.d L• [3) 1/1 io e ci►
Mailing address: (I2A2,S1.>J t s i- A u e city/State:Tea r4 0 Zip:P' 2 3
Phone:ivit •S9,l, •1 E M (L-L P 842--N +NC @,gyl4-vt. C.dAn
Applicant's representative: N(,,>,\.e, f ti:vD-y‘ 63,r-f)CAA
Phone: ‘ cj'-�D �' �j Email: e,kR-L.D cs-p10 S9-N Nr@� L Yy A - CzS
THE PROPERTY OWNER ACKNOWLEDGES AND AGREES TO THE
FOLLOWING:
1. I understand that acceptance of this application and documents by the City does not constitute an approval of an
exemption. Exemptions are not granted until after all documentation is received and city staff have reviewed and
approved my request.
2. I understand that if at any time during a period of 10 years from the time my final inspection is approved the
City ofTigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718-2421 • Page 1 of2
accessory dwelling unit for which an exemption is granted is rented or listed as a short-term rental(AirBnb,
VRBO,etc.),the owner of the property at that time will be required to pay to the city the amount of the
exempted system development charges,plus interest I also understand that an advertisement of the accessory
dwelling unit as a short-term rental is sufficient evidence for the city to assess the amount of the exempted SDCs.
I understand that this restriction will bind the property even through transfers of ownership.
3. I understand that the City may verify any of the information contained in this application at any time.
4. I understand that the City,its agents,successors and assigns will rely on the information contained in this
application and the information represented herein;if any information should change prior to obtaining a
certificate of occupancy,I will notify the City.
I certify that to the best of my knowledge,all the information provided in this application is true and accurate as of
�
date
provided opposite my signatures below.
R,GhaFd L gonrnr 6'As-lto
Z4� ' 1�azv7zf_s ' 6cr ./ / Zc>
Property owner signature Print Name Date
Pro er signature Print Name Date
APPLICANTS
It is the responsibility of the applicant to ensure that the application for the SDC exemption is submitted and
approved before the payment of all SDCs are due to the City. SDCs are calculated and due and payable pursuant to
Tigard Municipal Code 3.24.080. In accordance with TMC 3.24.080.B,the City may not issue a building permit or
allow connection to the City's systems until either all SDCs have been paid in full or an exemption has been granted.
It is the applicant's sole responsibility to ensure an exemption application is submitted to the City in a timely manner
in order to meet the timelines in TMC 3.24.080.
SUBMIT COMPLETED APPLICATION TO: SDC Administrator,Finance and Information Services,City of
Tigard, 13125 SW Hall Blvd.,Tigard,OR 97223. If dropping the application off in person,drop off at the Utility
Billing(UB) front counter located within Tigard City Hall.
Questions can be directed to the SDC Administrator at SDC@Tgard-or.gov or 503-718-2460.
ADU File #: ADU2020-00007
STAFF USE ONLN
Received by. Mai Quach Date. 7/13/2020 Approved by: MQ Date: 7/22/2020
Amount of SDCs Exempt: Park. $6,678 Transportation: $3,909
Total SDCs Exempted: $10,587
City ofTigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-orgov • 503-718-2421 • Page I of2
Washington County,Oregon
2020-063858
07/15/2020 10:57:08 AM
0-1RUL Cnt-1 Stn-31 REC0R051
$40.00$5.00$11.00 560.00•Total-$116.00
RETURN TO: IIJIII II IIIIIINIIIII I I IIIIIIINIIII III
02621122202000638580080083
City of Tigard I,Margaret Oars,Director of Assessment Ind v:e=?•.
COMmunity Development Taxation and t,.Onlclo County Clark for Washington
county,Oregon,do husky certify that the within it., �`! ,
13125 SW Hall Blvd. Instrument of writing wet received and recorded In the
Tigard,OR 97223 book of r.cordo of sold county. 1�• ��
Margaret O.rrs,Director of Assessment and TaatlOn, ` �•,i,i-$'
tmORlclo County Clerk
SPACE ABOVE FOR RECORDER'S USE
CITY OF TIGARD
COMPLIANCE AGREEMENT,DECLARATION OF RESTRICTIVE COVENANTS
AND EQUITABLE SERVITUDE
SDC EXEMPTION FOR ACCESSORY DWELLING UNIT
THIS COMPLIANCE AGREEMENT, DECLARATION OF CI1VE COVEN AND
QU EITABLE SERVITUDE(the"Agreement")is made and entered into this I` day of T a
20 0,by and between Jason Bonn and Nodie Fistonich-Bonn(the"Grantor")and the City of Tigard the
"City").
PURPOSE
The City desires to exempt the construction of an accessory dwelling unit("ADU")located at 11240 SW 81-
Avenue,Tigard,Oregon,and approved through case File No. ADU202O-00007, (the 'Project"), from payment of
City of Tigard parks and transportation system development charges("SDCs") pursuant to Tigard Municipal Code.
The legal property description of said Project is set forth in Exhibit A,which also is attached hereto and incorporated
herein by reference. The SDCs exempted for eligible Project units axe shown on Exhibit B.
Grantor desires to rcccivc the exemption,to satisfy the conditions thereof,and to execute and record this
Agreement for the purpose,in part,of creating restrictive covenants and an equitable servitude that shall run with the
Project land and bind any and all subsequent owners of the Project for the term of this Agreement
AGREEMENT
SECTION L REPRESENTATIONS,COVENANTS AND WARRANTIES OF THE GRANTOR
CONCERNING USE OF THE ACCESSORY DWELLING UNIT. Grantor hereby represents, covenants,
warrants,and agrees that Grantor will not use the ADU on the Property as a short-term rental,as defined in Tigard
Municipal Code 3.24(as amended July 9,2019),for a period of 10 years(the"Exemption Period") from the date of
final approval of final inspection of the building permit("Exemption Date"). For the purposes of this Agreement,
posting a listing of the ADU on the Property on a short-term rental website is prima facie evidence that the property
owner has violated this requirement
SECTION 2. COVENANTS TO RUN WITH THE LAND; EQUITABLE SERVITUDE. The
Grantor represents,covenants,warrants and agrees that
a. The City is granting the exemption to the Grantor as an inducement to the Grantor to construct and operate
the Project in accordance with the terms of this Agie,..uent In consideration of the receipt of the exemption,
the Grantor has entered into this Agreement with the City and has agreed to restrict the use of the Project
during the Exemption-Peciod as set forth in this Agreement.
SDC EXEMrT1ON FOR ACCESSORY DWELLING UNIT
Page 1 of 7
b. The representations,covenants,and restrictions granted by Grantor therein with rsapcct to the Project shall
be deemed restrictive covenants running with the Project land and also shall be deemed an equitable servitude
running with the Project land in favor of and enforceable by City.These restrictive covenants and equitable
servitude shall pass to and be binding upon the Grantor's successors in tide including any purchaser,grantee,
or lessee of any portion of the Project,shall pass to and be binding upon the respective heirs,executors,
administrators,devisees,successors, and assigns of the Grantor or any purchaser,grantee,or lessee of any
portion of the Project and shall pass to and be binding upon any other person or entity having any right,tide,
or interest in the Project. Each and every contract,deed,or other instrument hereafter executed covering or
conveying the Project or any portion thereof or interest therein shall contain an express provision making
such conveyance subject to the covenants,restrictions,and charges contained herein;provided,however,that
any such contract, deed, or instrument shall conclusively be held to have been executed, delivered, and
accepted subject to such covenants,restrictions and charges regardless of whether or not such covenants,
restrictions and charges are set forth or incorporated by reference in such contract,deed,or instrument.
SECTION 3. BURDEN AND BENEFIT. The parties hereby declare their understanding and intent
that the burdens of the covenants,restrictions,and charges set forth herein touch and concern the Project land and
that the Grantor's legal interest in the Blojn.t may be rendered less valuable thereby. The parties hither declare their
understanding and intent that the benefits of such covenants,restrictions,and charges touch and concern the Project
land by enh1ncing and increasing the enjoyment and use of the owners and tenants of the development,the intended
beneficiaries of such covenants, restrictions, and charges and by furthering the public purposes for which the
exemption is granted
SECTION 4. COMPLIANCE. The Parties hereby agree that Grantor,if requested by the City,will
provide certification,in a format approved by the City in its sole discretion,that the Grantor is fulfilling its obligations
under this Agreement
SECTION 5. TERM OF AGREEMENT.The patties agree that this Agreement and the restrictive
covenants and equitable servitude created hereunder become effective upon execution of this Agreement and will
remain in full force and effect for a 10-year Exemption Period Notwithstanding any other provision of this
Agreement,this Agaanentwill terminate and be of no further force and effect in the event of a completed foreclosure
by the primary financing lender or by a lender to whom the City has subordinated this Agreement,or their successors
or assigns,or in the event of a delivery by the Grantor of a deed for the Project to the primary financing lender in lieu
of foreclosure,or to a lender to whom the City has subordinated this Agreement,or their successors or assigns.
SECTION 6. TERMINATION. The City may terminate this Agreement,without further liability,upon
30 days'notice and opportunity to arc.Notwithstanding termination,City may pursue any remedy provided for in
Section 7. If the Grantor fails to perform or breaches any of the terms of this Agreement;or imm.wiisrfy and without
notice and opportunity to cure if the City loses the authority to grant the exemption,as determined by its counsel or
otherwise as lacking the authority to administer the exemption, or fails to receive or loses necessary finding,
appropriations, limitations, or other expenditure or position authority sufficient to carry out the terms of this
Agreement.
SECTION 7. REMEDIES. If the Grantor defaults in the performance or observance of any covenant,
agreement,or obligation set forth in this Agreement and if such default remains uncured for a period of 30 days after
the notice thereof shall have been given by the City to the Grantor,then the City,at its option,may take any one or
more of the following steps:
• a. Terminate the exemption of the Project or a portion thereof,in which case the SDC's exempted herein shall
be immediately due and payable to City in the amounts shown on Exhibit B,along with interest accruing from
the Exemption Date at the rate shown on the City's Master Fees and Charges Schedule for"SDC Financing"
cak ubuted semi-annually.City may,in addition to an action co collect SDCs due,withhold issuance of building
or development permits until paid in full;
SDC EXEMPTION FOR ACCESSORY DWELLING UNIT
Page 2 or7
b. Take such other action under this Agreement,at law,or in equity as may appear necessary or desirable to the
City to enforce the covenants,agreements,warranties,and obligations of the Grantor hereunder.
No waiver or delay in enforcing the provisions hereof as to any breach or violation shall impair,damage,or
waive the right of any person entitled to enforce the same to obtain relief against or recover for the continuation or
repetition of such breach or violation or any similar breach or violation thereof at any later time or times.
SECTION 8. RECORDING AND FILING. The Grantor shall cause this Agreement and all
amendments and supplements hereto to be recorded and filed in the real property records of Washington County and
in such other places as the City may reasonably request. The Grantor shall pay all fees and charges incurred in
connection with any recording.The Grantor shall provide either the original recorded document or a certified copy
of the recorded document within ten days of the date of this Agreement
SECTION 9. GOVERNING LAW;VENUE. This Agreement shall be governed by the laws of the
State of Oregon. The courts of the State of Oregon,or to the degree necessary,the U.S.District Court for the District
of Oregon,shall have exclusive jurisdiction over any action brought by or against the City under this Agreement The
Grantor hereby consents to such exclusive jurisdiction and waives any and all objections it might have thereto.
SECTION W. AUTHORITY. Grantor hereby represents,warrants,and certifies that
a. It possesses legal authority to apply for and accept the terms and conditions of the exemption and to carry
out the proposed Project;
b. Its governing body,if any,has duly authorized the filing of the application,including all understandings and
assurances contained therein;
c. The person identified as the official representative of the Grantor in the application is duly authorized to act
in connection therewith and to provide such additional information as may be required The Grantor's official
representative has suffideot authority to make all certifications on its hrhalf,
d. This Agreement does not and will not violate any provision of any applicable law,rule,regulation,or order
of any court, regulatory commission, board, or administrative agency applicable to the Grantor or any
provision of the Grantor's organic laws or documents;
e. This Agreement has been duly executed by an official representative of Grantor,delivered by Grantor,and
will constitute the legal,valid,and binding obligations of the Grantor,enforceable in accordance with their
terms.
SECTION IL AMENDMENTS. This Agreement may be amended only by a written instrument
executed by the parties hereto or by their successors and duly recorded in the real property records of Washington
County.
SECTION 12. SEVERABILITY. If any provision of this Agreement shall be invalid, illegal, or
unenforceable,the validity,legality,and enforceability of the remaining portions hereof shall not in any way be affected
or impaired thereby.
SECTION 13. CONSTRUCTION.The parties to this Agreement acknowledge that each party and its
counsel have participated in the drafting and revision of this Agreement Accordingly,the parties agree that any rule
of construction to the effect that ambiguities are to be resolved against the drafting party shall not apply in the
interpretation of this Agreement or any amrnrlmeat,modif+ration,supplement,or restatement of the foregoing or of
any exhibit to this Agreement.
SDC EXEMPTION FOR ACCESSORY DWELLING UNIT
Pate 3 of 7
SECTION 14, NO LIMITATIONS ON ACTIONS OF CITY IN EXERCISE OF ITS
GOVERNMENTAL POWERS. Nothing in this Agreement is intended,nor shall it be construed, to in any way
limit the actions of the City in the eternise of its governmental powers.It is the express intention of the parties hereto
that the City shall retain the full right and ability to exercise its governmental powers with n_looit to the Grantor,the
Project,the land,and the transactions contemplated by this Agreement to the same extent as if it were not a party to
this Agreement or the transactions contemplated thereby,and in no event shall the City have any liability in contract
arising under this Agreement by virtue of any exercise of its governmental powers.
IN WITNESS WHEREOF,the parties have caused this Agreement to be executed by their,duly
authorized representatives as of the day and year first above written.
GRANTOR(s):
FULL NAME:
By: By:
rgnature II Signature
Name \gCNa t-r{ (�r.J.'' Name:h fr \ TIM G n V)
STATE OF (X-C yri )
County of ()Or) ) S5:
The foregoing instrument was acknowledged before me this`day of ,by
4 ilflrle, Lee OaviEncio.
spl9-1 Lel I t t rrv-t
Notary Public for the State of(y
My commission expiresio r� l I/r}fv'�►
OFFICIAL STAMP
Summar Lea Newnan
NOTARY PUILIC-OREGON
COMMISSION NO.1.1014
Mr COMMISSION WIRES Jimmy 27.2124
SDC EXEMPTION FOR ACCESSORY DWELLING UNIT
Page 4 of 7
SECTION H. NO LIMITATIONS ON ACTIONS OF CITY IN EXERCISE OF ITS
GOVERNMENTAL POWERS. Nothing in this Agreement is intended,nor shall it be construed, to in any way
limit the actions of the City in the exercise of its governmental powers.It is the express intention of the patties hereto
that the City shall retain the full right and ability to exercise its governmental powers with tcal,u.t to the Grantor,the
Project,the land,and the transactions contemplated by this Agreement to the same extent as if it were not a party to
this Agreement or the transactions contemplated thereby,and in no event shall the City have any liability in contract
arising under this Agreement by virtue of any exercise of its governmental powers.
IN WITNESS WHEREOF,the parties have caused this Agreement to be executed by their duly
authorized representatives as of the day and year first above written
GRANTOR(s):
FULLNAME: •
W06,7t-Y\ 4/1
Signature Si/g''n�aturec%/6
!/
Name lZ� al'C! f- �✓o/y%( Name: rc' d� �J61.7✓�
STATE OF 0121;&al )
ss:
County of CIA jcl:) -
((tt
The foregoing instrument was acknowledged before me this Lday of JUL"! di2 -by
plcgo,ci EDoc.bU s eta
No Public for the Stare of 0 f&01J
y commission expires: AO 1`/ ZDZ.'J
Ormost.cuQ
rDMOt
JASOM, ucc-OarGOM.
Vt0i sour Cmr sso so.spew
I' MY COMMISSION t7OIS5 AM 14,7074
SDC EXEMPTION FOR ACCESSORY DWELLING UNIT
Page 4 of 7
CITY:
CITY OF TIGARD,an Oregon municipal corporation
By.
Marry Wine,City Manager
SDC EXEMPTION FOR ACCESSORY DWELLING UNIT pop 5 of 7
EXHIBIT A
LEGAL DESCRIPTION OF THE PROJECT
Lot 20, HERB AND PEGGIE'S PLACE, In the City of Tigard,County of Washington and State of Oregon.
The subject property- (11242 SW 81"Avenue;1X'CT11 IS136CB,Tat Lot 9400) is located east of SW 81"
Avenue, north of SW Pfafe Street,west of SW 79*Avenue, and south of SW Thom Street.The subject
tat lot was originally approved as Lot 20 of the Herb and Peggie's Place Subdivision. The Low-Density
Residential (R-4.3) subject tax lot contains one single detached house and one accessory stnuntre. GIS
SDC EXEMPTION FOR ACCESSORY DWELLING UNIT
Page 6 of 7
EXHIBIT B
r•ra ED r<E OF SDCs E111PTEQ
ExempdOn Amount
System
City Transportation $ 3,909
packs $ 6,678
Water NOT ELIGIBLE
Sanitary Sewer
NOT ELIGIBLE
Stonnwater NOT ELIGIBLE
County Transportation Development Tax NOT ELIGIBLE
Total Exemption $ 10,587
This 5DC exemption is granted to the units located at the property address(es)listed below:
11240 SW 81st Avenue,Tigard,Oregon
soa•F,x I,Margaret Garza, Director of Assessment and
' • Taxation and Ex-011icio County Clerk for
Washington County,Oregon,do hereby certify this
u;:.,• i� SI to be a true and cortect copy of the original.
`�f•., r' �•/' Witness my hand this 15th of July,2020
By:
1. open-Deputy
SDC EXEMPTION FOR ACCESSORY DWELLING UNIT
Page 7 of 7
Margaret Garza, Ex Officio Receipt#: 902224 Receipt Date: 07/15/2020 10:59 AM
•
Washington County Clerk Station: 31 Cashier: M LOPEZ
155 N 1st Avenue Suite 130, MS 9
Hillsboro, Or 97124 Receipt Name: FISTONICH-BONI, NOELLE
PHONE 503-846-8752
Comments:
RECORDING
Document# Recording Date Doc Type Recording Survey Housing AST Fund NonStd Other Subtotal Transfer Total
2020-063858 07/15/2020 10:57:08 AM 0-IRUL 40.00 5.00 60.00 11.00 11600 $116.00
Totals: $40.00 $5.00 $60.00 $11.00 $0.00 $0.00 $116.00 $0.00 $116.00
Thank You
Miscellaneous Fees
Retain this receipt for your records ENTER#OF PAGES COPIED 8
$2.00
ENTER#CERTIFIED COPIES&LOC 1 $7.50
Receipt Total $126.50
CHECK 105 $125.50
Page 1 of 1
Washington County,Oregon 2020-024584
D-DW
Stn=10 A DUYCK 0312312020 01:29:29 PM
$15.o0 sit 00 s5.00%0.00 sat0 00 $501.00
After recording return to: I,Margaret Gana.interim Director 01 Asimsment and Taxation and
E*Oiticia County Cora fur Washington County,Oregon do hereby
certify that In.within Instrument of writing was received and
Jasoa..Horw recorded in the book of records of said county.
? $W Al Pt Tigard, Ave OR 97223 Margaret Garza,Intenm Director of
........................ Assessment and Taxation,Ex-Otticio
Name,Address,Zip
`0 Until a change is requested all tax statements shall be sent
N to the following address.
OJason Bonn, Noelle Fistonich—pone
0 Richard Bonn, Dolores Bonn
0 SAME AS ABOVE
N
» Name,Address,Zip
N
r
T' 823858 486946-003560
W WARRANTY DEED - STATUTORY FORM
.J (INDIVIDUAL)
H
F— Stacy T.Wong, a single woman
0 Grantor, conveys and warrants to Jason Bonn, Richard Bonn, Dolores Bonn and Noelle
Q Fistonich—Bonn, tenants in common •
VGrantee, the following described real property free of encumbrances except as specifically set forth
herein:
Lot 20, HERB AND PEGGIE'S PLACE, in the City of Tigard, County of Washington and State of Oregon.
Before signing or accepting this instrument, the person transferring fee title should inquire about
the person's rights, if any, under ORS 195.300, 195.301 and 195.305 to 195.336 and Sections 5 to
. 11, Chapter 424, Oregon Laws 2007, Sections 2 to 9 and 17, Chapter 855, Oregon Laws 2009, and
Sections 2 to 7, Chapter 8,Oregon Laws 2010. This instrument does not allow use of the property
described in this instrument in violation of applicable land use laws and regulations. Before
signing or accepting this instrument, the person acquiring fee title to the property should check
with the appropriate city or county planning department to verify that the unit of land being
transferred is a lawfully established lot or parcel,as defined In ORS 92.010 or 215.010,to verify the
approved uses of the lot or parcel, determine any limits on lawsuits against farming or forest
practices, as defined In ORS 30.930, and to Inquire about the rights of neighboring property
owners, if any, under ORS 195.300, 195.301 and 195.305 to 195.336 and Sections 5 to 11, Chapter
424, Oregon Laws 2007,Sections 2 to 9 and 17, Chapter 855,Oregon Laws 2009,and Sections 2 to
7, Chapter 8,Oregon Laws 2010.
Subject to and excepting: Covenants, Conditions, Restrictions, Reservations, set back lines.
Power of Special Districts,and Easements of Record,If any.
The true consideration for this conveyance is g409,400.00....... (Here comply with the requirements of
ORS 93.030e).
After recording return to:
.Jason—Bonn
ti: Tigard, OR 97223
................
Name, Address, Zip
`11 Until a change is requested all tax statements shall be sent
N to the following address.
Jason,.Bonn.i...Noelle...Fsonichonn
Richard Bonn, Dolores Bonn
SAME AS ABOVE
Name, Address, Zip
V4
T 823858 486946-003560
W WARRANTY DEED - STATUTORY FORM
J (INDIVIDUAL)
1-
1— Stacy T. Wong, a single woman
0
Grantor, conveys and warrants to Jason Bonn, Richard Bonn, Dolores Bonn and Noelle
Fistonich—Bonn, tenants in common
U x
VGrantee, the following described real property free of encumbrances except as specifically set forth
herein
Lot 20, HERB AND PEGGIE'S PLACE, in the City of Tigard, County of Washington and State of Oregon.
Before signing or accepting this instrument, the person transferring fee title should inquire about
the person's rights, if any, under ORS 195.300, 195.301 and 195.305 to 195.336 and Sections 5 to
11, Chapter 424, Oregon Laws 2007, Sections 2 to 9 and 17, Chapter 855, Oregon Laws 2009, and
Sections 2 to 7, Chapter 8, Oregon Laws 2010. This instrument does not allow use of the property
described in this instrument in violation of applicable land use laws and regulations.
Before
signing or accepting this instrument, the person acquiring fee title to the propertyshould
check
with the appropriate city or county planning department to verify that the unit of land being
transferred is a lawfully established lot or parcel, as defined in ORS 92.010 or 215.010, to verify the
approved uses of the lot or parcel, determine any limits on lawsuits against farming or forest
practices, as defined in ORS 30.930, and to inquire about the rights of neighboring property
owners, if any, under ORS 195.300, 195.301 and 195.305 to 195.336and
Sections
2009, and Sections 5 to 11, Chapter
424, Oregon Laws 2007, Sections 2 to 9 and 17, Chapter 855, Oregon
2 to
7, Chapter 8, Oregon Laws 2010.
Subject to and excepting: Covenants, Conditions, Restrictions, Reservations, set back lines,
Power of Special Districts, and Easements of Record, if any.
The true consideration for this conveyance is $409,400.00....... (Here comply with the requirements of
ORS 93 030*)
page 2 Warranty Deed—Statutory Form Acknowledgment
Dated this .. •7_ day of 9rArtemere. fick, if a corporate grantor, it has caused its name to be
signed�., orde of its board of directors,
X ........... . ... ..: .. ..... ... ............ .......... ..
Stacy T. •ng
STATE OF 43IPE66td C s 2e d'cJA
County of ss.
Personally appeared on the above named Stacy
T.Wong (fill in marital
status) and acknowledged the foregoing instrument to be his/her voluntary act and deed.
Before me
Notary Public for Oregon
My commission expires ✓
If the consideration consists of or includes other property or value, add the following:
"The actual consideration consists of or includes other property or value given or promised which
is part of the whole consideration(indicate which)".
r
LLS
AR. All-purpose Acknowledgment California only
L ---- —
A notary public or other officer completing this certificate verifies only the identity of
the individual who signed the document to which this certificate is attached,and not
the truthfulness,accuracy,or validity of that document.
State of California
County of SaA,
on E-o4 441 2of9before me, sr ga .a, L, (here insert name and title of the officer),
, a
personally appeared sin --T. iej Gil
who proved to me on the basis of satisfactory evidence to be the
person(s)whose name(s)is/are subscribed to the within instrument
and acknowledged to me that he/she/they executed the same in his/ A RAMA
her/their authorized capacity(ies),and that by his/her/their signature(s) a' a«. COMM,#2260971 z
on the instrument the person(s),or the entity upon behalf of which the
m NOTANY PU u •CAUFORN41 z SAN NATEOCOUNrY -,
person(s)acted,executed the instrument. = My Commission Expires 10,Du1022 S
I certify under PENALTY OF PERJURY under the laws of the State of
California that the foregoing paragraph is true and correct. Notary Seal
WITNESS my hand
and officciiaalseal..
Signature
For Bank Purposes Only
Description of Attached Document C,,�
Type or Title of Document hj€AA®�. �`1 �^
_
Document Date _09 I 0 kho 19 /Ut Number of Pages 2-
Signer(s)Other Than Named Above AVIA.2
OSG5 MCA;RPv 02-WI 71 F00 I-000DSG5350CA-01