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2003-022294 Washington County, Oregon 200322294 RETURN RECORDED DOCUMENT TM. per' 93 09:46:24 AAA Cnita1 Str►a22 I REED CITYHALL RECORDS DEPARTMENT, $20.00 $6.00 s+4•00 • Total o $37,00 CITY OF TIGARD 13125 SW Hall Blvd. i Tigard, OR M23 INDIVIDUAL 1, Js HaneonODireetor'A s sOment anndTTa0~5 nd Ex-Onso County Clerk for Washington county, Oregon, RI hereby certify that the wRhln instrument of writingwasreceived and recorded In the booty of . E, records of said county. ~.,,yuX.sov. File No 0323B Jerry R. Hanson, Director ssessment and Taxation, Ex4mclo County Clerk EASEMENT PERMANENT SLOPE AND PUBLIC UTILITY John W. Olsen, hereinafter called the Grantor, grants and conveys unto the City of Tigard a perpetual easement for constructing, reconstructing, operating, maintaining, inspecting, and repairing of public utilities and appurtenances, together with the right to remove, as necessary, vegetation, foliage, trees, and other obstructions as well as a perpetual easement and right-of-way for the purpose of constructing, reconstructing, maintaining, repairing, and using the same for a slope to support or help to support the street or sidewalk construction on the adjacent real property on the parcel of land described. in Exhibit "A", situated in the City of Tigard, Washington County, State of Oregon. THE TRUE CONSIDERATION for this conveyance is $325.00. However, the actual consideration consists of or includes other property or value given or promised which is the whole consideration. IT IS EXPRESSLY UNDERSTOOD that this easement does not convey any right, title, or interest except those expressly stated in this easement, nor otherwise prevent Grantor from the full use and dominion thereover; provided, however, that such use shall not interfere with the uses and purposes of the intent of the easement. IN CONSIDERATION of the premises, Grantee agrees that if said Grantee, its successors or assigns should cause said easement to be vacated, the right of the Grantee in the above-described easement will be forfeited and shall immediately revert to the Grantors, their successors, and assigns in the case of such event. TO HAVE AND TO HOLD the above-described and granted premises unto said Grantee, its successors, and assigns forever. IN WITNESS V~AEREOF I hereunto set my hand on this day of 2002. Si Signature 1/ 760 5W.. Gaarele ?Z. Z-.; Tax Statement Mailing Address Mailing Address STATE OF OREGON ) ) ss. County of Washington ) This instrument was acknowledged before me owf4 date) by John W. Olsen. PITMSEAL 44 PUBM-OFEGON NOVaf My Commission Expire, ~?A O Ad1f k7~lRltB BBL 7001 Accepted on behalf of the City of Tigard this S day of 200A NO Engineer NO CHANGE IN TAX STATEMENT 1. ' 2003-22294 EXHIBIT A RIGHT-OF-WAY DEDICATION A tract of land for right-of-way dedication across those certain lands described in deed to John W. Olsen and Mary Jo Olsen recorded in Fee No. 86010573, Washington County Deed Records; being in the northwest quarter of Section 10, Township 2 South, Range 1 West, Willamette Meridian, City of Tigard, Washington County Oregon. Said tract being described by metes and bounds as follows: Beginning at the northeast comer of said Fee No. 86010573, being in the south right-of-way line of SW Gaarde Street (20 feet from existing center line); thence along the east line of said Fee No. 86010573, South 00° 06' 00" East a distance of 17.00 feet; thence South 89° 10' 00" West, 40.00 feet to the west line of said Fee No. 86010573; thence along said west line, North 00° 06' 00" West a distance of 17.00 feet to said southsight-of-way line of SW Gaarde Street (20 feet from existing center line); thence along said south right-of-way line North 89° 10' 00" East a distance of 40.00 feet to the Point of Beginning. Containing an area of 680 square feet of land, more or less. SLOPE AND UTILITY EASEMENT A tract of land for slope and utility easement across those certain lands described in deed to ohn W. Olsen and Mary Jo Olsen recorded in Fee No. 86010573, Washington County Deed Records; being in the northwest quarter of Section 10, Township 2 South, Range 1 West, Willamette Meridian, City of Tigard, Washington County Oregon'. Said tract being described by metes and bounds as follows: Commencing at the northeast corner of said Fee No. 86010573, being in the south right-of-way line of SW Gaarde Street (20 feet from existing center line); thence along the east line of said Fee No. 86010573, South 00° 06' 00" East a distance of 17.00 feet to the Point of Beginning of the herein described easement; thence continuing along the east line of said Fee No. 86010573, South 00° 06' 00" East a distance of 7.11 feet; thence South 870 38' 03" West, 40.05 feet to the west line of said Fee No. 86010573; thence along said west line, North 00° 06' 00" West a distance of 8.18 feet; thence North 89° 10' 00" East a distance of 40.00 feet to the Point of Beginning. Containing an area of 306 square feet of land, more or less. This description was prepared by TriLand Design Group, Inc., April 25, 2001. E:\9901 MORMROW-DESCIDOC 7 I 2003-22294 EXHIBIT A A PORTION OF LAND S1 TUA TED IN THE NORTHWEST ONE QUARTER OF THE NORTHWEST ONE QUARTER OF SECTION 10, TOWNSHIP 2 SOUTH, RANGE 1 WEST, WILLAMETTE MERIDIAN CITY OF TIGARD, WASHINGTON COUNTY, OREGON PREPARED BY: TRILAND DESIGN GROUP, INC. APRIL 25, 2001 10260 S.W. Nimbus Ave. Suite M-4 Tigard, Oregon 97223 (503) 968-6589 FAX (503) 968-7439 PREPARED FOR: CITY OF TIGARD EXISTING CENTERLINE SW GAARDE STREET (CR 411) NEW CENTERLI E 19 EXISTING RIGHT OF WAY N89'10'00"E 40.00' 0 0 v o 0 NEW RIGHT OF WAY '1 0 0' 8.18' 7.11' SLOPE AND U17LITY EASEMENT 5.00' 5.00' CONSTRUCTION EASEMENT R'N8 2 0E 40.05' ~ o 0 11830 SW GAARDE o0 11760 SW GAARDE rn 11754 SW GAARDE STREET ° STREET °o STREET RIGHT OF WA Y 680 SF CONSTRUCTION EASEMENT (EXPIRES 2 YEARS FROM SIGNING) 200 SF SLOPE AND UTILITY EASEMENT SCALE.• 1"- 20' 306 SF _ _ y' ' y~~ ~•v.: :lu,c~s,~. - rs~7 tti!ti ► -'1+:~i1'~r~ylllY~ 4/.;Y Y~i ~ ` ! M, 2003-2294 a TYPE OR d PRNTT IN PERINK MANENT 286905 ~ OREGON DEPARTMENT OF HUMAN RESOURCES ,r o. TAO F9 HEALTH DIVISION CENTER FOR HEALTH STATISTICS r as ~5 CERTIFICATE OF DEATH I LoGA1 FW NurtO.! SIa1. FK. NunWe1 , , 1. DECEDENT? L4H Law 7 aEY I. GATE OF DEATH (M- Eby Ywl I, NAME Nary Jo OLSEN Female November 12, 2000 SOCIAL SECURITY MLYBER L. AGE LA.I B+Ilra.y b. Urrdr I Yw S-- LArd.r I D., 1 a. BIRTIPLACE (Uy Md S.N a Fanp, I. DATE OF BIRTH (My.n. ELI vN.l 463-01-3731 nw.)84 DO' Nixon, Texas May 9, 1916 1. WAS DECEDEW EVER M PLACE OF DEATH rCIrU -y ar) US. AIbIED FOACEST O Yr t Id ❑ ► P.d• K ❑ ER OW.rv ❑ DOA 0-8 ❑ H-II D.c. H 0 OM (S-'YY) 10. FACILITY MAMC j Wm *y do. ~ -nd k ool ac CITY, TOWN• OR LOCATION OF DEATH Ed COLNTY OF DEATH t 11760 S.U. Gaarde St. Ti ard. Washington 2 Id, DECEOEHT-5 USUAL OCOL PAnOM 101 K.O OF OII$Y{S&4f4D '5TRY I I. MARITAL STATUS • Mrw.d 12 SF'OLlSE (F 4r.W. IU.~~.d1 b+d d b a d,.ay AI..1 a1.M.v0 Ab. O---~ 10 npE l+•++•U Tyr 3 School Administrator cosmotology Harried John Olsen AESDENCE . STATE 13R CV-wTY 13c. un. TOw OR LOCATgN 13d. STREET ANO NUMBER Oregon Washington T srd,,,,,,,,,._ 11760 S.W. Gaarde St. t S 13...+S,OE Gtt UL 2Y OOOE IL WK _ OE'j119P 1,4 MfE OEC Mft1-$ EOUCArION rr OA ErwK.ryYS.mV.ry N 12) c 97224 I1Jn5•1 R ,7C•plf"A uT7~e..,~ Le e.. 50+ ~,t(( 17 . fAT11EA • MAYE 4Y ! - <FIOM~,✓ p i. INFORMAI(T • NAME And Ial.yalr.ND b d.o..W znlft gg ~Xohn Olsen (Spouse) William Lee 20.. ME THOO of GASPF _ q, , I,DH. C.I a• I,,.,., s.-.., ZOOM Oe.r 00-6.1 D•. nd, Oregon 21.. o E OF - rTV _ A~ e ~smor ' vau 1728 ere m. ,t1102 . 2 A E AAA` 10 BY CEATIFIIN(i ``Ot. Q, COMPLETED ONLY• BY MEDICAL. EXAMINER i i 27. TIME OF"Q`kkM za. r{AiY4~ Y0T11iQs,' w` 1.7T.* OF OE.TT]t- ~}wIMT ONOtINCF0 DEAD #I.-. D.,. V- -1 1-45 19. To .v o.r of AV .'4FR ~ _ ~ `C1n Yv ~ 1r.+yJo~ ~wwn. n wry ~ w•In eou...•a 30. DATE - r7lI~IFTS•SL . DAT ED ,x-,11• COUFrtr 12 t 3A. NAME. TITLE ADO - - ( ' ~~lF• u Kathleen Fiel(le 2S xb 0"4 i).' Oregon 97062 cowrnot4 35. NAME OF ATTENO,NO WHICH GAVE 845E TO 3a W"EDtA E CAUSE IENTER OM AID h:: Nr,y......•I YwrYM Wa.+.w O!r{II A-EOIATE CAUSE PMT r.l STATK. THE LP.OENC y.rf DUE TO. OR K A COW.IQUENQ OF CAUSE LAsr rol + ww`rr M DUE To. OR &Gtpo~OVK-j Of: W a.aln , Ic) PART OTHER S,GMFCANT CONDITIONS • 37.04 K,a.CN 1R. colKrbM 3a AUTOPSY )s Y YES ..•I .•e.p tv.w.•-e ci, d CMb..d/\ GoI.,TTAYrq 4 d.... Oul M I.M/~'r0 n ti Indn11'rp dM lFr'•I' n PMT I p .`F dMd17 w aw+,.a.q raw, d a,.n' 15 ~ ~Oy.Y~r Ol+m+ar 16 40 MANNER OF DEATH Fla. DATE OF µA*Y 41C. TIME OF 41F WA)AY .la DESCRIBE HOW w Rr OCCURRED rAbMt Gq" Ywl .ylLlRr I AT WOAKI ~'"A"" pP..rawo O AOCVM O S.Agd. O turd. aw i M O Yr O NP 0 HyNald. O L.qd .1.. PLACE OF PLAAY - Al P y-. I.w14 ....L %0.1, oaci .II. LOCATION (S~ .4 Mne., a A -V Aare Mnra.r. Gy d ld.n. Sw V I b.W.9. - Y..rY.,vlen 75P.aFYI C.LSE Or OfA1,1 ~r A RESERVED fOq REOtiTRARi USE C. -4 KE''EASE SES+OE Or G++EE. COPI ORIGINAL-VITAL STATISTICS COPY .s2 R.Y 5AG nL THIS IS A TRUE AND EXACT REPRODUCTION OF THE DOCUMENT ICIALLY C c^ REGISTERED AT THE OFFICE OF THE WASHINGTON COUNTY RE IS yf COUNTY REGISTRAR ~ Z ~4~ 17 X044 DATE ISSUED' WASHINGTON COUNTY. OREGON ~ z ~ ~ - r T>als COPY NoT vwo wTTT~x~r INTACsLq srarE sFAL ANO soROER 1 59 ;rte-- - - ~tr'^ `