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90-71243
9` -71243 Washington County 2P s- Ci ~1. ZT& T PUBLIC UT111T`Y' EASEMENT KNOW ALL MEIN BY THESE PRESENTS THAT Irving Puziss and Kelly PuzisR, hereinafter called the Grantors, in consideration for the sum of Frye Hundred Twenty dollars ($520.00) from the City of Tigard, hereinafter called Grantee, grant and convey 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, fr ;e, trees and other obstructions on the following described parcel of land, situated in thu City of Tigard, Washington County, State of Oregon: See attached exhibit "A" incorporated by reference and made part of this document. 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 Grantors from the full use and doniWon thereover; provided, however, that such use shall not interfere with the uses and purposes of the intent of the easement. The Grantors, their heirs, successors, assigns or representatives shall not construct or maintain any building or other structures upon the above described real property prior to written approval by the City as to conformance with City specifications regarding construction, TO HAVE AND TO HOLD the above-described and granted premises unto said Grantee, its successors and assigns- forever. Together with a temporary easement for construction purposes as described in exhibit "B" incorporated by reference and made part of this document. This easement shall be effective from date of signature for one year for t4.e purpose above described, or until completion of the project, whichever is first. Grantec agrees to hold Grantor harmless for all injury to person or property caused by Grantee's use of property for the purposes above described. IN WITNESS WHEREOF, the grantors have hereunto set their hands and seal this day of Oct , 1990, By hying Puziss By 1 Utility Easement - Puziss STATE OF Page 2 s9 County of _ YVA i } BE IT REMEMBERED, that on this ,',-)~day of 1990, before me, the undersigned Notary Public in and for the State of Oregon, personally appeared the within. named Irving PuAn acid Reny Piss who are lmown to me to be the identical individuals desenbed in and who executed the within instrument and acknowledged to me that they executed the same freely and voluntarily, IN TESTIMONY WHEREOF, i have hereunto set my hand and seal this day of 1990. Notary Public for Oregon'.. My Commission Expires: Mai **g6k:~; 993 Approved as to legal description this CO day of1994. By: 660 d~ Title• Approved this 7 day of OV• 1990, DEPARTMENT OF COMMUNITY DEVELOPMENT By: l//:: ~z Title. 'e'na-';fever After Recording Return To: City Recorder P.O. Box 23397 Tigard, OR 97223 a _ STATE-OF ARIZONA - DEPARTMEi4 i -'F HEALT= SERVICFS - Oi:FICE OF Vi AL REC:JR -o , NZ). CERTIFICATE OF DEATH D ► u2-. NAME OF A. FIRST B. MIDDLE C. LAST SEX DATE OF MONTH DAY YEAR PUZISS z. MALE 33..TM AUGUST 5, 1990 RILE RB. w,WA hNOL AmmiMn tntiet ppedy bbel ely WAS DECEDENT OF HISPANIC ORIGIN: IF YES. INDICATE MEXIGi.S. SPANISH. PUERTO RICAN. WAS DECEASED EVER IN US. ARMED FORCES? SPECIFY: (SPECIFY YES OR NO) CUBAN. ETC. (SPECIFY YES OR NO) M White B. No C. s. Yes PLACE OF A. COUNTY B, TOWN OR CITY C. HOSPITAL OR Or RESIDENCE GIVE STREET ADDRESS) .0 DOA DEATH INSTITUTION E3 OP EMER. hmicopl& PHOENIX VAMC 650 E. IMIAN SCHOOL RD. PHX INPATIENT DATE OF MONTH DAY YEAR AGE (,'EA„S UNDER.1 IF UNDER 1 DAY MARRIED. NEVER MARRIED. SURVMNG OF WIFE, GNE MAIDEN NAME) BUD LASTBIMMY) MOS. DAYS HRS. MIN. WIDOWED. DIVORCED (SPEG,F',9 SPOUSE 1924 eA. 65 B: D. 9. Married 10. Kell Cohn I ATE AM QI M In US& - exrow CITIZEN OF WHAT SPECIFY SOCIAL SECURITY NO. USDA OCCUPATION (Give Mb of VMk OND OF BUSINESS OR INDUSTRY Dote i of ttlatking Me, even ""Ohem S e Of Am. „ 544-18-1151 ,4A Surgeon Medical USUAL. A. UTATF .COUNTY C. TOWN OR CITY D. 22P CODE HOW LANG IN ARIZONA? EDUCATION ARIMENOE HIGHEST GRADE COMPLETED Arizona iEarAdise Valley - 85253 6 3T%A txR CITY IJMRS7 ON RESERVATIM : PREVIOUS STATE EUSAERARYSECONDARY COLLEGE 4pLV r+. l~lea~ater (SPECIFY Yes or No) (SPECIFY Yes or No OF RESR>ENCE P12) (+s er 5+) 1SE Parkway SF. Yes ,SG: No ,e. Oregon A. 12 ' J). 5+ FATHER'S A. FIRST e. MIDDLE C. LAST MOTHER'S MAIDEN A. FIRST B. MIDDLE C. LAST . NAM NAME Louis Puziss Rose Blackman RELATIONSHIP TO ADDRESS STREET NO. CITY AND STATE ZIP CODE INFiX - T.► JA NOICAL CENIM RECORDS NONE X650 E. RMIAN SCHOOL RD. PHOENIX,AZ. 85012 BIRi1At, CREMATION. DATE / TION EMBALMER SIGNATURE CERT. NO. REMOVAL ORXEi 8-6-90 ' e246 Remomva 25. Be. Portlapd, 0 OreFon ,N7A.► ?S t FU rWLIE NAME ADDRESS CITYAND STATE FUNERAL M perEOeeCting ee (5X3NATURE) CERT. NO:' Vlsoinger Mortuary & Chapel n ~ r-ntt-Rdala. Arl2ona 7HA► l•r TO 771E BEST OF MY H AT THE TW -AATE AND PLACE AND _ ON THE BASIS OF OLUMIATM ANDY TIaL w Mr t>PWICIN DEATH OCCURRED DUE TO THE CAUSM) ST ♦ AT TK TIME DATE AND PLACE DYE CAUSES) AHD YAINN~ STAT7a. $p Z J SIGNATURE $ ~ 3 ~ SIGNATURE - AND TITLE ► v ' ..T+ g > 94. MID TITLE ► rI DATE SIG Oft. . Y ) HOUR OF DEATH . ` p = DATE SIGNED (Mo. Day. Yeo HOUR OF DEATH f NAME ATTENDING PHYSICIAN W OTHER THAN CERTIFIER (Type or plha) to W - DEAD Of- Day. Year) PRONOUNCED DEAD (Hour) 3& ST.. ON 98. AT ~Qlf S. 'S SIGNATURE: NAME AND ADDRESS OF CERTIFIER. PHYSICIAN. MEDICAL EXAMINER LAW ENFORC ORITY FOR CREMATION MEDICAL EXAMINER . (Typa"DrPMq 41. ~ 39. FRIDFRI F. MARCIANO arm )jffto DATE REGISTERED REG. FILE No. 44. ► PA OF DIS?ijl~~/ DATE RECD. IN STATE OFFICE 004, I a. A. IMMEDIATE CAUSE (FINAL -RESULTING IN DEATH) ENTER ONLY L M9 WAS! uS! APPROXF 1 w M ; R CARDIOPULNIONP ALLURE MATE > °o a~Mj_ a DUE TO OR AS a INTERVAL j W Z 0> Q BETWEEN w= g Q 3 d EVENT ( BLEED VS STROKE) I~ E ° F W C- DUE TO OR AS A CONSEOUENCE OF: DEATH lsp ~C M J I PART IL CVw =Wdbowd mrfl ons oM bibi* D OD aemn am not roxdting in the unaMlyhq cause Buren m Part I AUTOPSY WAS CASE REFERRED TO MEDICAL. EXAMINER (spedly Yo M No) (spadly Yes M No) NO . 41L 49. 11``LN^1 so. MANNER OF DEATH DATE MO DAY vR HOUR INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED 0 c AUSCS 0 HOMICIDE INJURY (Specify Yes or No) 52 53. M 54. 55. . " 0 ACCIDENT ❑ W FSTIGATON PLACE OF INJURY (At Dome. IWM. easel. faltMy, Dike buileDq. etc.) WHERE LOCATED? STREET ADDRESS CITY OR TOWN STATE a SUCME o UNDEFTEMNS) SPECIFY i 5,. 58. 157. SUPPLEMENTARY ENTRIES 1 15B. 1 E CERTIFIED COPY OF VITAL RECORD i STATE OF ARIZONA : • 1 ! 1 COi1NWOFMARICOPADATE ISSUED J Aug 31, 1990 This is a true and exact reproduction of the document officially. registered and placed on tip In the VITAL RECORDS SECTION. DEPARTMENT OF HEALTH SERVICES. S PHOENIX, ARIZONA issued under the autifority of IRS. 98341. and by direction at. Mani R. SaighV Chief Deputy County Registrar Nerieopa County Department of health Services This copy not valid unless prepared on engraved boTdfr displaying county seal in color and raised Dml of issuing agency. EXHIBIT A, July 10, 1990 1S1 35DC 3000 UTILITY EAMMNT A parcel of land situated in the southwest quarter of the southeast quarter of section 35, Township 1 South, Range 1 west, W.M,, Washington County, Oregon. Said parcel of land being more particularly described as follows: BEGINNING at a point on the easterly property line of that parcel of land conveyed to Irving Puziss and Kelly Puziss in a Trust Deed recorded in Fee No. 86-06104, recorded February 12, 1988, said point being 34.66 feet left and at right angles to engineer's centerline station 118+51.65, more or less; as illustrated in City of Tigard R/W - Easement Exhibits Sta. 106+99.84 to Sta. 119+00.42 sheet 2 of 8 dated 2/23/90; Thence southerly along said easterly property line to a point which is 39.41 feet left of engineer's centerline station 118+48,50; more or less; Thence Westerly to a point which is 40.68 feet left of engineer's centerline station 118+85,62 feet, more or less; Thence Northerly to a point which is 35.00 feet left of engineer's centerline station 118+85.62, more or less; Thence Easterly to the point of beginning. REGISTER _6 PROFESSIONAL [:LAND SURVEYOP. 69E N JULY ta, 1272 GEORGE B. CATHEY 979 , e EXHIBIT B Jury 10, 1990 IS1 35DC 3000 CONSTRUCTION EASEMENT A parcel of land situated in the southwest quarter of the southeast quarter of section 35, Township 1 South, Range 1 west, W.M., Washington County, Cregon. Said parcel of land being more particularly described as follows: BEGINNING at a point of intersection at the easterly property line of that parcel of land conveyed by Irving Puziss and Kelly Puziss in a Trust Deed recorded in Fee No. 88--06103 on February 12, 1988, Washington County Records, and a nontangent curve, said point being 43.20 feet left and at right angles to engineer's centerline station 118.45.97, more or less; as illustrated in City of Tigard P./W Easea,,en t Exhibits Sta. 108+99.84 to Sta. 119+00.42 sheet 2 of 8 dated 2/2.3/90; Thence Westerly 1+1.44 feet .'ong the arc of a 1086.00 foot radius curve to the left through a central angle of 070 27' 43" to a point of tangency, said point being 39.00 feet left of engineer's centerline station 119+97.02; Thence Westerly to a point of intersection with the westerly property line of said Pu.iss parcel; Thence Northerly along said westerly property line to a point of the intersection wiwh the southerly right of way of SW Greenburg Road, as defined in City of Tigard ordinance 010-01, dated January 22, 1990; thence easterly along said sGUtleriy right of way to a point of tangency, said point being 30 :`aet left of engineer's centerline station. 1=91+97.02, more or less; Thence 137.70 feet along the arc of a 1095.00 foot radius curare to the right through a central angle of 71 12' 1811 to the intersection with the easterly property line of said Puziss parcel, 'thence Southerly along said easterly property line to the point of beginning. ~r REGISTERED PROFESSi©f\1AL LAND SU VEYOR OREGON --.ft g LLY 14, 1972 G~.EGRG E 6.C ATHEY 01SN03 ! 1 Y Ul ~ - C 00, Inc i VI S ?4 T Z 99 1 ~ ~ ~ lS Al . . CC nun 68 sia or 11 ss If s's+ as ' ' - _ ~ 1 I - _ 1N3W3Sy3 a , t , 3 H f ! i 06 t6 i ' 1:3 f o Nou.0nacsNOa ! ~W o°N° s o ! V M Sri U. { } W r r N b 03Spd0bd oaaaa us i f t 0 cy- a°C~ f o 0. co O ~d~ h { Oh^ pi 0 t O { 16. 1N3 ~ O o { t 4 NOUOn?USNO~ a A { C t N w .0 cc _j d us 1. L 1 d~ M~ li ,o£ U 18 0 V 03SOd0 Id 2016+611 'd1S fl% 61 Ll 'd1S 9£'96+61 +OZ -E- ~ 12i .S£ ! 4 I OZl 'd1S ' t 04 Z0116+61 t 'V 1S i i i .01 . .OoO a . ri t 11 AT 49'6Z+0Z t 'dlS~k a 1~' ~ t ll =S£ av, t ! . , __61'!£+0Z1 'd1S - STATE OF OREGON SS County of Washington I, Jerry R. Hans - C or of Assessment woo rder of Con- and Taxation a re ertity that veyances for og4niP] eceived the within ' r'WWArsLtts and reco o i ounty. _PW Ha' it or of .,y D, ~a6tati Ex- o- L O % cr°^' couN~'' Doc 90071243 38.00 Rect: 46577 t 12/31/1990 03:30:26PM -