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12242 SW 122ND AVENUE FILE NO. 35&-q o 122ND AVE - 12242 STR. OPN. PERMIT W 4 CITY OF 1UGA10 _ EXPENDITURE RBQU= This form is a milti-use form. Appropriate receipts ,must be attached. Ducumentation is important for all piuposes. Staple doc=m entation tc form. VENDOR NO.: — -- DPTE: �A PA_LAF'I.E Zt7: RI('(JL'= 3Y: 4w- I&UZU&I T-_r , `� Ilio * Approved request due Weinesday 10:00 AM to A/P for checks by Friciay. MISQUTANDJUS EXPENDITUI2I;: - Date Description, L-ivoiee No., etc. Account NO. ;mount 2 200 $ 3 jSC��) M �eage $0.255 _ fit! APTROPRIAMON BALANCE: — AS OF: - S :MATURE: (Li. to $25.00) Section Manager ----- — P crch. AgPJit ($25.01-2,500-00) Divi,;i-.)n h:am(pr --_—_ ($2,5-_.:P-0I-7,500.00) Dept. Head ($7,500-01-15,000.0o) City Admi rii_,trator ($15,000.01- ?) Local Contract ?--view Board � ke/150.15 �--- _-- _F.ORMI{*,3�4—rtENERAIIASEMENT._' __ -_ _�-COPYRIGHT 1999 9TRY►N9.N929LAW PUS.CO, PONTLANO.OR 97204 ' ONEE AGREEMrvJT FOR EASEMENT THIS AGREEMENT, Made and entered into phis ....26th . ..... day of ...�P. z ., 1990,,,,,,, ............ by and between .JOZSef.W,-.nc &..Katalin.Lorinc, husband..and-wife..................................................... hereinafter called the first party, and..Jozsef..Lorine..&.Katalin..Lorin,.lu sband..and..wlfe............. ... ...... .... .... ..... hereinafter called the second party; WITNESSETH: WHEREAS: The first party is the record owner of the following described real estate in Washingt'.on_,....... County,State of Oreglon,to-wit: �\ See Exhibit "C" attached hereto and �I by this reference incorporated he-rein. �fc, 1h V and has the unrestricted right to grant the �asernent hereinafter described relative to said real estate; NOW, THEREFORE, in view of the premises and in c.�nsideration of One Dollar ($1) by the second party to the first party paid and other valuable considerations, the receipt of all of which hereby is acknowl i� edged by the first party, they agree as follows: The first party does hereby grcnt, assign and set over to the second party A perpetual easement for constructing, reconstructing, operating, maintaining, inspecting and repairing of an undergm r-d sew--r line and appur,:enances, together with the right to remove as necessary, vegetation, foliage, trees, and other obstructions on the following described parcel of land. See Exhibit "A" and f:Ychibit "B" attached hereto and by this reference incorporated herein. i �I li (!assert her,- a full description of the nature and type of the easement granted to the second party.) The second party shall have all rights of ingress and egress to and from said real estate (including the right from time to time, except as hereinafter provided, to cut, trim and remove trees, brush, overhanging i branches and other obstructions) necessary for the second party's use,enjoyment,operation and maintenance of I the easement hereby granted and all rigl.ts and privileges incident thereto. Except as to the rights herein granted, the first party shall have the full use and control of the above de- scribed real estate. i The second party hereby agrees to hold and save the first party harmless from any and all claims of third parties arising from second party's use of the rights herein granted. The easement described above shall continue for a period of ...............none............... .....I always subject, ..... however, to the following specific conditions, restrictions and considerations: If this easement is for a right of way over or across first party's said real estate, the center line of said easement is described as follows: n/a and second party's right of way shall be p3ral/el with said center line and not mo-e than ................................ feet distant from either side thereof. During the existence of this easement, its maintenance and the cost of said maint:nance shall be the responsibility of (check one): ❑ the first party; ❑ the second party; ❑ both parties, share and share alike; ❑ both parties, with the first party being responsible for ..............% and the second party being responsible fer .......rfo. (If the last alternative is selected, the percentages a.;ocated to each party should total 100.) This agreement shall bin( nd inure to the benefit of, as the circumstances may require, not only the immediate parties hereto but also their respective heirs, executors, administrators and succesors in interest as well. In construing this agreement, where the context ,o.equires, the singular includes the plural and all gram- matical changes shall be made so that this agreement sh..l apply equally to individuals and to corporations. If the undersigned is a corporation, it has caused its name to be signed and its seal affixed by an officer or other person duly authorized to do so by its board of directors. IN WITNESS WHEREOF, the parties hereto have executed this easement :ilicate. ( � Dated.........ti.l..0.......................................19.......( .................................T'.. FIRST PARTY ex ........�............................. ..................••.......••...... ............................ LCON0 PARTY llf ecuted by corporation, corporate seal and uso ackn e the form owledgmen pposile.) STATE OF OREGON, y� ) STATE OF OREGON, ' 1N {..1 1' )u. ) Countyof..........................:......................................) County of _ _ ... M. TlJs insfrumant was acknowied m ged before e on This instrument was acknowledged .. be/ore me on..... ........................................ ...................................................19........,by............................. 19..... ,b).- ................................................................................................................ ...................................................................................................... as................................................................................................................................... ........................................................................... of........................................................................»......................................................... ............................... ........I.......... ....................................................................................... Notary Public for Oregon Notary Public for Oregon (SEAL) (SEAL) My commission expires: My commission expires: AGREEMENT STATE OF OREGON, sa. i FOR EASEMENT County of.......................................... I certify that the within instru- hF.TN'EP.ti ment was received for record on the .............day of..............................,19......... . ... ... . .. ... . . . at..................o'clock.....M.,and recorded AND in book/reel/volume No.......................on aPACL RxexRVID page ........................ or as lee/file/instru- roH ment/microfilm/reception No. ................. R[coRoeR.e Uer Record of.............. . ..................................... of said County. AFTER RECORDING REIURN TO Witness my hind and seal of County affixed. ..... .NAME ....................................TIT:[ By .... ........ Deputy DRINKWATER ENCINE`PING, INC. 9205 S W UURNHAM S7 PGARD,OREGON 97223 (503)639-1155 CL'HI W PROJECT: JOB 88-07 5/ 19/90 LOCATION: CITY Or T I G,ARD ITEM: EASEMENT FOR PRIVATE SANITARY SEINER PURPOSES FOR PARCEL "A" AS DEPICTED ON A SURVEY OF RECORD FILED WITH WASHINGTON COUNTY "22.A69 A PARCEL OF I.-AND LOCATED IN THE N.W. 114 OF THE N W. 114 OF SECTION 3, TOWNSHIP 2 SOUTH, RANGE 1 WEST OF THE WILLAMETTE MERIDIAN, IN THE CITY OF T I GARD, COUNTY OF WASHINGTON, STATE OF OREGON, MORE PARTICULARLY DESCRIBED AS FOLLCWS: BEGINNING AT A POINT IN THE CENTERLINE OF S.W. 1215T. AVE. (COUNTY ROAD NO. 358), AT THE NORTHEAST CORNER OF THAT CERTAIN TRACT OF LAND CONVEYED TO ER. CHR15TEN50N AS DESCRIBED IN BOOK 182, PAGE 161 , OF THE DEED RECORDS OF WASHINGTON COUNTY OREGON & THE SOUTHEAST CORNER OF THAT CERTAIN TRACT OF LAND CONVEYED TO EILEAN V EDV ARDS, AS DESCRIBED IN BOOK 360, PAGE 69, OF THE DEED RECORDS OF WASHINGTON COUNTY OREGON; THENCE 579-59-52W A DISTANCE OF 26.45 FEET TO A POINT ON THE WEST RIGHT OF WAY OF SAID S.W. 121ST AVE. AND THE TRUE POINT OF BEGINNING OF THIS DESCRIPTION, THENCE 579-59-52W ALONG THE SOUTHEASTERLY LINE OF SAID EDWARDS TRACT A DISTANCE OF 158.08 FEET TO A 5/8 INCH IRON ROD; THENCE 58-32-40W A DISTANCE OF 527 FEET TO A POINT, THENCE N79-59-52E (PARALLEL TO AND 5.00 FEET FROM WHEN MEASURED AT RIGHT ANGLES TO THE SAID SOUTHEASTERLY LINE OF THE EDWARDS TRACT) A DISTANCE OF 158.03 FEET TO A POINT IN THE AFORESAID WES 1 RIGHT OF WAY, THENCE N9-01--49E (PARALLEL TO AND 25.00 FEET FROM WHEN MEASURED AT RIGHT ANGLES TO THE SAID CENTERLINE OF S.W. 121ST AVE.) A DISTANCE OF 5.2.9 FEET TO THE TRUE POINT OF BEGINNING, CONTAINING 790 SQUARE FEET MORE OR LESS, BASED ON THE BEARINGS AND DIMENSIONS OF A RECORD SURVEY FILED WITH WASHINGTON COUNTY SURVEYORS OFFICE 02 2,869. EXHIBIT "C" A PARCEL OF LAND LOCATED IN THE N.W. 114 OF THE NAY. 1 /4 OF SEC1 ION 3, TOWNSHIP 2 SOUTH, RANGE I !'LEST OF THE \:I I LLAMETTE MERIDIAN, IN THE CITY OF T I GARD, COUNTY OF WASHINGTON, STATE OF OREGON, MORE PAPTICULARLY DESCRIBED AS FOLLOWS: 13EGI NN I NG AT A POINT 1I4 THE CENTERLINE OF S.W. 1215T. AVE. (COUNTY ROAD NO. 358), AT THE NORTHEAST CORNER OF THAT CERTAIN TRACT OF LAND CONVEYED TO E.R. CHRISTENSON AS DESCRIBED IN BOOK 182, PAGE 161 , OF THE DEED RECORDS OF WASHINGTON COUNTY OREGON & THE SOUTHEAST CORNER OF THAT CERTAIN TRACT OF LAND CONVEYED TO EILEAN V. EDWARDS, AS DESCRIBED IN BOOK 360, PAGE 69, OF THE DEED RECORDS OF WASHINGTON COUNTY OREGON; THENCE 579-59-52W A DISTANCE OF 26.45 FEET TO A POINT ON THE WEST RIGHT OF WAY OF SAID S.W. 121ST AVE. AND THE TRUE POINT OF BEGINNING OF THIS DESCRIPTION; THEI E S79-59-52W ALONG THE SOUTHEASTERLY LINE OF SAID ED%'WARDS TRACT A DISTANCE OF 158.08 FEET TO A 5/8 INCH IRON ROD; THENCE S8-32-401'/ A DISTANCE OF 79.63 FEET TO A POI NIT MARKED BY A 5/8 INCH IRON ROD. THENCE S85-57-08E A D i STANCE OF 149.32 FEET TO A POINT IN THE AFORESAID V;EST RIGHT OF WAY; THENCE N9­01 -49E (PARALLEL TO AND 25.00 FEET FROM %'!HEN MEASURED AT RIGHT ANGLES TO THE SAID CENTERLINE OF S.W. 1215T AVE_) A DISTANCE OF 118.21 FEET TO THE TRUE POINT OF EEGININING. CONTAII'll f�G 14,760 SQUARE FEET MORE OR LESS ACCORDING TO A RECORD SURVEY FILED WITH WASHINGTON COUNTY SURVEYORS OFFICE IDENTIFING THE PARCEL AS -PARCEL B' AN:D AS DEPICTED ON THE ATTACHED EXHIBIT "B i r, SURVLI OF A PARCLL OrLAND LOCATED INTM, ��. ,. 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TK sOUrM tK or TK r.3frCT W(STADIatCI)87 MOt O/'.0 rK lK C IATfD:110U.fa/O 1tr/N«I f KA•1K St COArfA AK,tMafCT1.:TD I MAO 117'ROM MC CAULD RM N TIC DCm P WVCD TIC K 0 CA". «Cnr: r1,, T M MOt rAf/K.M t TITLF SfAACM 0111C0((3I CASf1ANTS 01 rlfCORD TO Of OfMt"'r r.fGe� 1KRCITltt IK SART,00.E LOCATf M 0CMTtr CASIWL-n.T.CM.wart Df Ot rCCDAD. C is w0r.,. W?DOr .TTM I.O..I.CUT FULAW AS MD;fO •-K«TC)SrT 510'.s0'I AOe,.TTM rfuW:4.f:A".Df-09-t. P"TrC' EXHIBIT I,B rl ,fi-OfrrTC3 SF'510'.30'w0«A00 WTTM (C to s..'♦I1") 14-1c ri-ScAtD V—fIA R1 wrf• 7 pi(,,LSs C./ +-4-Y.«='f3 M(000 Ot T<KMCI f ON AL- 1, WO.SO is PLAT.D:cl..OR ACCORD vwKT K, { Si}�" r".r U]0001 ll I(1� �391 rD 1N' , E M7p Na0l... ft-5 t[q 16 1 _���•..YTSy1S"ct �• 0 1 IK[D) tT $cr o-00 L K � 1 TOO W ca J lo-risK r rto.Lj 1 1` to 2LL ro s..•s .M Q.. IN O �T 1J7.Af M-� 1.1 CL ^ to fAT'w/lTM LKl �u ^'Trills I �� TL 6mo 1, ' [r', • 41�, 0 c iOr ra. 113 •D Ao 591 52 • 1 �.f�s c j',7 Q� K1D L KQD/( _ l .•.( 0V.town V �+(� »00-" ti U r V /D f1w-w w.. ./ Tore004 S.40 __•- 1 IK101 _. I... "OUST 1 ftftfft -A' .•i. \� w w /ILITCll 7• O g naso Krco 1 11/ rl ._Ml7/ N71t , .f 7.7rof'w rr0 ut'rw I-[t[ 9DY t t 1 ♦�rtr• 7 r0$Al'w !Af's0t'f CYt 1 It, •, n Hifi N i 1Do.+,t� u + M T1_ r000 TL rrOr tu -L,, , 151 I ,1 STRAi W4�"Ljl �L vi E T fir.00-00 [f.rfo.fT. :•-r I...�oo r►_.Nlrs i'^vi int _- � rtrmlca u�+vrTs�rtwrs '- I 9, IDh.......ILOv11T IW ......CCS 1►A. •se ( Aw, mw to#to nft...e rR Iwnrr,eo r.eA..ow nt. rr to+-fns•. n.t oin .......D.«mrTlt w.....Mov lfro I.tLD car"ACt WILD .— K.Sr ....r.w[.........• .......DCT 7rt SLpVEYED Br: koww.-T,n,A A ENT JOSFF IOAtNC mcm......r rlrala�u.tow...AC,T GHe+o iAra1 of 0T:1tD 12435 Sw 121ST O.r\..lTlf IM:TwIIM�tM- q.N l'.....Jf1N ICTT76:A........IK MI 1..:L.w.+..-f• IIIW.1f•T,rt+.. TOREGON 97225 ...� ,-/:•w�^:I f PHOPIENON[ :664•6451 aTftot .....a«rnr(ecw.......rCrw cl •K1r t1►11/1 ICAICLL tiq.r{:IIID APPLICATION -- STREET IMPRC HENT/EXCAVATION COPY TO: ORDINANCE NO. 74-14 WHITE)-FILE YELLOW)-INSP. f(INSTRUCTIONS ON SEPARATE SHEET') -OTHER AGENCY (BLUE)-dAPPLICANT APPROVED APPLICATION NO.: NOT APPROVED (� CITY l O 7IGARD, OREGON /�. FEE AMT.. f_ ! PE14DING FEE. PMT. ❑ CITY IIALL RECEIP O.. - 001077Z* PENDING SECURITY ❑ PUBLIC WORKS DEPARTMENT Br - DATE -3 I /z / 90 PENDING AGENCY "OK^ ❑ Application and Progress Record — MAINTENANCE BOND PENDING INFORMATION ❑ FOR STREET IMPROVFMENT/EXCAVAI"ION AS REQUIRED - ANNUAL PENDING VARIANCE El EXPIRATION DATE: PERMIT NO : �' �90v — - --- DATE ISSUED: (1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL_ 1N' 44W• TIQf-' AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS. 97/4 G' A PPL I c AN L 4 �.tl.� t-� " .a Sx G z 40 d zS=G -. NAME ADDRESS CIT - PHONE C O N I K A C T O R NAME AD Ss— CITY PHONE -- PLANS BY C/7"7' ,�'fj.� NAME ACORESSCITU 4'rI ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): E _ 75 fig• - - - DOLLARS (2) EXCAVATION DATA: – 7O-R �E�j = fSTREET DESCRIPTION & INSPECTION STATUS NAME SURFACE CUr CUT CUT MATERIAL INSTALLEDTE REMARKS/TYPE BY TYPE LENGTH WIDTH DEPTH ITEM & QUANTITY STREET OPEN D — �.L•�A INSPEC- R TION / i EQ 1 �t _ U LL�cy �y ESTIMATED STREET OPENING DATE: ( / E S - arilaa ESTIMATED STREET CLOSING DATE: [� / T Vv STREET (3) SECURITY NO. _. SECURITY AMT.: : ��0. LLOSEO SURETY C_O.: __ _ FINAL _— CERTIFIED CHEC_KS l0ND r INSPEC. (4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL s— SPECIAL PROVISIpNS/CON ITL NS: FEATURES, EXCAVATION LOCATION AND EXTENT. URB - �� _ �. - - _ _ _ .. _ _ _ •- _ .� (� - lot 1 1�. 1 t'LM�pvt•� ---- �T�' ILL (5) NOTE THE CITY OF TIG 13 GOES NOT. HEREBY, GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE RIGHT-OF-WAY JURISDICTION IS THAT OF WASHINGTON COUNTY OR THE STATE OF OREGON. THE APPLICANT AGREES TO DEPOSIT PHE REQUIRED SECURITIES, TO COMPLY WITH ALL PERTINENT LAWS AND CONSTRUCTION SPECIFICATIONS PERTINENT TO CONDUCT OF THE. WORK, AND TO SAVE HARMLESS THE CITY AND EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS. APPLICANTS SIGNATURE /`0 rh,� J J }• DATE i L? / i L r' .r O HILLER SONS COMPACTORS, INC. - - Pouto 5, Lrx 62 . . Slz�,xwccd, Oregoa 97140 dJ�' ' ;�-9v .. ,. APPLICATION - STREET IMPRC `,RENT/EXCAVATION COPY TO: ORDINANCE NO. 74-14 ,(WHITE)-FILE )EP(YELLOW)-INSP. (INSTRUCTIONS ON SEPARATE SHEET) ❑ (PINK) -OTHER AGENCY '•�jp(BLUE)-APPLICANT APPROVED J APPLICATION NO.: NOT APPROVED ❑ CITY OF TIGARD, ORECON FEE AMT.: S PENDING FEE. PMT. ❑ CITY HALL RECEIPT 0010 3 ` PENDING SECURITY ❑ PUBLIC WORKS DEPARTMENTBY DATE 3 / 7 ZL9 PENDING AGENCY "OK" ❑ Application and Progress Record - - - - - - - - - - PENDING INFORMATION O FOR STREET IMPROVEMENT/EXCAVATION MAINSEa ONCE BON UIRtO 11-1 PENDING VARIANCE L7 ANNUA:_ EXPIRATI N DAMEr Ai : PERMIT NO.: DATE ISSUED: BY: _ -- /Z (1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTAI '_ STS CT ice' A5 DESCRIBED HEREIN, IN FULL. ACCORDANCE WITH CITv REQUIREMENTS. APPLICANT _ A14&_e_ --��-.. }( �� J 97%40 NA DDgI ESg —'�—L _C]/�E CIT CONTRACTOR- PHONE INAM[ ADDRESS CITY ---' - -- - - _---__ PHONE P L A N S B Y _ NAME ADDRESS CITY ___ --- e l i,'., H O'N E ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): _ _35 -5-Ow - 0 5 GP (2) EXCAVATION DATA: d- FOR or VICE USE:— =-.'M;N 0.04 X s STREET DESCRIPTION PROGRESS & INSPECTION STATUS CUT NAME - SUTYPEE LENGTH WIDTH DEPTH MITEM IA31NSTALLEQUANTITDY /TYPE BY ITEM DATE REMARKS STREET ,y a � OPENED C. Y R 7fro PI O N c c 1 e- E Q I Y�I P U ESTIMATED STREET OPENING DATE: / / ES l f"Ir [ ESTIMATED STREET CLOSING DATE: / / T E (3) SECURITY NO. — SECURITY AMT: Z _ ;,;- STREET LOSED SURETY CO.: FFINAL n ,w -- �ERnfIE n cH[Clt n -} �oNo INSPEC. II z-� ( �! (4) PLOT PLAN' INDICATE SITE PERTINENT PHYSICAL FEATURES: EXCAVATION LOCATION AND EXTENT. SPECIAL PROVISIONS/CON ITI NS: 1 I 1 7 ( I 1 CURB - ` ol -x-- - - •dills - - -- -- - - - - - , I IIA I ( q I I uG lsa' j 7 I _ t4 J c ' z 1 z A^� -- (5) NOTE THE CITY OF TIGARD DOES NOT, HEREBY, GRANT PERMISSION TO APPLICANT9 TO C�T WORK wHERE RIGHT-OF-WAY JURISDICTION 19 THAT OF WASHINGTON COUNTY OR THE STATE OF OREGON THE APPLICANT A13REES TO DEPOSIT THE REQUIRED SECURITIES, TO COMPLY WITH ALL PERTINENT I AWS AND CONSTRUCTION SPECIFICATIONS PERTINENT TO CONDUCT OF THE WORK, AND TO SAVE HARMLESS THE CITY AND EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS APPLICANTS SIGNATURE !f� DATE - /'/ E TV T I RECEIPT OF PAYNENT REC NO: 00107."4 NAME: CHECk. AMOUNT 364.00 MILLER SOHE_� CONTRACTORS CASH AMOUtq7 .110 ADDE_::S: F 1, -_; E 0�, ,-, F A Y N F IN r --,,fa-r, u - 1:-9th I �HERWDGL,. SLOC,P. N_')/ADDR: PUPPOSE OF FAYME;.,TFI-jF'�'OS OF FG­ME: ---------------------------- ------------- -------------- ------- DEPOSI--i 7,50.00 PUKIC IMPROVEMPT PERM;IS14.00 1C47_5 CSW TOTAL. AMOUWt _:64.00 ........... ----------- MILLER & So "S ROUTE 5 CONTRACTORS, INC 13OX 62 625-6 SHERWOOD. OREGON 97140562 8398 PAY 24-22 036 f TO THE _T28F_ ORDER OF March 2 CITY OF TIGApj) THREE U.S. fL,�f'j�c -L—JUR�DptjARS AND No CEWM $[364.00 , MILLER & DOLLARS OAlOON SONS CONTRACTORS. INC. 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