2001-088010 ~ 15350 SW Sequoia Parkway ,t ,cr
STATE OF OREGON 1
SS
CVity of Washington
0 I, Jerry E n t prof Assess-
ment and, an , o County
i
Clerk for • �r do mortify that
the with iatr �a " s received
and recorded 4" »orris of said
county : s� x �s
APA �� f fi on�� director of
stint - Taxation,Ex-
"J �: „ lerk
After Recording, Return to:
City of Tigard Doc 2001088010
13125 SW Hall Blvd. Rect: 286761 21.00
08/30/2001 09:53:08am
Tigard, OR 97223
WASHINGTON COUNTY 2001-088010
COVER PAGE FOR RECORDING IUUI II IIIA I III ISI I III I 111111
Name of Transaction: Traffic Impact Fees
(Installment Payment Application and Disclosure Statement)
Name of Person(s), Address, and Map and Tax Lot Identification:
Lien Debtor— City of Tigard
Property Lessee—The Bagel Basket IV, Inc., Stephen D. Morse, CFO
15350 SW Sequoia Parkway
Tax Map & Lot: 2S112DA-01400
And as further described in Lot 2 Partition Plat 1996-048.
To be recorded in Lien Records per ORS 205.130(3)(b) and/or ORS 205.130(3)(c).
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TRAFFIC IMPACT FEE
Installment Payment Application and Disclosure Statement
In the Matter of the Traffic Impact Fee for BAGELBASKET IV.INC.
Tax Map 2S1120A Lot Numbes) 00400 Building Permit# BUP95-0135
Site Address 15350 SW SEQUOIA PARKWAY.TIGARD.QB 97223 Subdivision N/A _
Case File it SDR94-0Q09 TIF Land Use District I-P
To Be Billed To: BAGEL BASKET IV.INC.
Address: 5335,SW MEADOWS ROAD.#365. LAKE OSWEGO.OR 97035
To the City of Tigard:
In accordance with the provision of Oregon Revised Statute 223.208 and Washington County Ordinance
No.379 which relates to the imposition of a traffic impact fee for the financing of mayor collector roads and
arterials of Washington County, Uwe HEREBY MAKE APPUCATION AND AGREE. JOINTLY AND
SEVERALLY,to pay my/our traffic impact fee,as has been determined by Washington County Ordinance
No. 379 in 20 semi-annual installments of the amount financed together with one-half of one year's
interest thereon at a rate of 8.77 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 10 years. Each installment
payment will include principal and interest
If hive 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 shaft 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(8.77%)and finance charges which I/we agree
to pay are as follows:
HIGHWAY TRANSIT
1) Amount of Traffic Impact Fee . $5.643.00 2.508.00
2) Amount Financed S 5,643.00 _ 2.508.00
3) Equal Semi Annual Principal Payments $ 282.15 125.40
4) Interest on Balance at Rate of 8.7 %
ItWe understand that the amount owed,as stated above,shall be a lien on the above-described subject
property pursuant to Washington County Ordinance No.379 Section 6(D)and ORS 223.230.
DATED this 10th day of MAY s 1995.
%rz,d/ Cr o, 6 j s :
Signature of Property Owner(s) ignature of Property Lessee
STATE OF OREGON ) Name(Please Print): Mors-e
) Address: 231SS se si-,ttAhy Lavru she+wccdt o(C 41140
County of Washington )
- _ -:;:i''
.. 09 fes.
'y • _ c me this day of , 19 L.
' •"€�+�' GEORGUWNE PANTELY � �
7 \-:; �r NOTARY PUBLIC-OREGON ( on,.
�� `( ` `4 .206
``;�'' COMMISSION NO.039741 (' Notary Publ for Oregon
-
r�,,,!,;:�,.s 3 'IBES NOVEMBER 28,1998 7 `5.2Z
My Commission Expires:
I\\0+ air 2c), (�I°I u X98- s�a.2.