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2008-096360 Washington County,Oregon 2016-082818 D-LS Stn=20 I REED 10/11/2016 08:40:19 AM $5.00$11.00$5.00$20.00 $41.00 I,Richard Hobernicht,Director of Assessment and Taxation and Ex- Officio County Clerk for Washington County,Oregon,do hereby certify that the within instrument of writing was received and recorded in the book of records of said county. Richard Hobemicht,Director of ..... .................... Assessment and Taxation,Ex-Officio . . . .................. After Recording, Return : 111 City of Tigard 13125 SW Hail Boulevard Tigard, OR 97223 GA R i Name of Transaction: Removal of Claim of Lien Parcel ID# 1613 0D05200 11708 SW Warner Ave OR 97223 DBA- Mira•e Works LLC Name of Person (Grantor, Grantee, etc.): C/O SAJ JIVANJEE Owner Grantee c• Of Ti and BuUdin Perrrtit 8U 2007-00523 And as further described in Lien Document# .: 008-096360 fJf jj2 Date: 10/10/2016 f-16/71,14-- A • G( Cara Fitzpatrick, A ht. Finance Director STATE OF OREGON, County of Washington The forgoing document was acknowledged before me this -` -day of Oc.*o � , 2016 by Cara Fitzpatrick, Assistant Finance Director for the City of Tigard on behalf of the City of Tigard. OFF C#A.-STAMP No ary Public of Oregon c,,,..."`P; J€LL ME€ EDITH BENTLEY � NOTARY PUBUC - OREGON Noil.,r`or COMMISSION Na 925359 y Commission expires ; "�`••_;' L t >e €6§Y COMMISSION EXPIRES MAY 08,20118 RETURN RECORDED DOCUMENT TO: CITY HALL RECORDS DEPARTMENT, eTTY OF TIGARD 13125 SW Hall`Blvd. Tigard, OR 97223 TRAFFIC IMPACT FEE Installment Payment Application and Disclosure Statement In the matter of the Traffic Impact Fee for: Tax Map- Lot Number (s): and as further described in Deed # Building Permit Number: Site Address: Subdivision: Case File TIF Land Use District: To Be Billed To: Address: Washington County, Oregon 2008.096360 12/03/2008 09:47:29 AM D-L Cnt=1 Stn=29 RECORD81 $5.00 $11.00 - Total = $16.00 01310561200800963300010018 I, Richard Hobemlcht, Director of Assessment and a T , Taxation and Ex-Officio County Clerk for Washington ' County, Oregon, do hereby certify that the within Mirage Mini Storage Instrument of writing was received and recorded In the book of records of said cou 1S135DD Richard Hobemlcht, Director of Aasees man 05200 Taxation, Ex-OMclo County Clerk BUP2007-00523 11708 Warner Avenue None CUP2005-00001 C-G Saj Jivanjee 9055 SW Beaverton Hillsdale Hwy., Portland, OR 97225 To the City of Tigard: In accordance with the provision of Oregon Revised Statute 223.230 and Washington County Code 3.17 which relates to the imposition of a traffic impact fee for the financing of mayor collector roads and arterials of Washington County. I/we HEREBY MAKE APPLICATION AND AGREE, JOINTLY AND SEVERALLY, to pay my/our traffic impact fee, as has been- determined by Washington County Code 3.17 in 20 semi-annual installments of the amount financed together with one-half of one year's interest thereon at a rate of 5.9 annual percentage rate on the unpaid amount owed. The lien date is the first day of the month following the date the application is signed. The first payment is due six months thereafter and at six (6) month intervals thereafter for a period of TEN years. Each installment payment will include principal and interest. If Uwe neglect or refuse to pay any part of the installments provided herein, including interest, within one (1) year after the same shall have become due and payable, then the whole amount of the unpaid assessment shall become due and payable at once and shall be collected in the manner provided by law including foreclosure on the above-described real property. The traffic impact fee, annual percentage rate of interest 5.9% and finance charges which I/we agree to pay are as follows: Highway Transit 1) Amount of Traffic Impact Fee $35,273.00 $2,925.00 2) Amount Financed $35;273.00 $2,925.00 3) Equal Semi-Annual Principal Payments $1,763.65 $146.25 4) Interest on Balance at Rate of 5.9% I/We understand that the amount owed, as stated above, shall be alien on the above-described subject property pursuant to Washington County Code 3.17.060 (C) and ORS 223.230 (3). DATED this `T day o 2008 Signature of'Prop4 y w ;e/) rSignature of Property Owner(s) ) STATE OF ORE ON/ ss. County of Was gton ) SUBSCRIBED AND SWORN TO BEFORE me this 4 day of N 0 2008. Notary Public for Oregon My P/ate/~ / OFFICIAL SEAL M Commission Expires: SHIRLEY L TREAT 0 NOTARY PUBuC - OREGON COMMIS&ON NO.4113777 MY COMMISSION EXPIRES APRIL 25, 2011 60900 C?Documents and Settings\maris\My Documents\Bancroft Form for Mirage Mini Storage docx