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12250 SW 106TH DRIVE 12250 SW 106TH DRIVE _ H Ln Ln FH x.11 • '� ! � � � � r 9 � ( � 1 � + I � 1 Ii .T•�� 1 1 t.1 t �'t's�I.l= {N•.r� ` rl I�I � f J t i I 1 `�' r'� • j l'. j •'I fl; ILY,J�I ( .t1a.�Vi+;f.; l;i.l�! �, l ►-�1:4 tD (A O .0 P-4 27 D U cn C:) In N N r-1 W W, W R� W Iw i i Permit No. -- - 1 �( Permit charge. �. Owner Connectlo,,i fee ......�. .r....._._..� paid by - 't Type of building ,`mac'. Date connected Service rate- Inspection fee .S"y Contractor Paid by date Size of connection w.. .�. ...x:_.w.__ » .�.. � _.. Aa a9ainniit ._ ..,� _. paid 1 KMLBIT "B" 1 _35 13 CITY OF TIGAH.D CERTIFICATE OF OCCUPANCY Ala) RELEASE OF MiTH1C'TION The City of Tigard hereby certifies that the occupancy of the following described structure or premises. with respect to which a restriction of occupancy was, on AUXLI 15 _ _ __, 19__2A recorded in Book _?n, Pav ae1 Deed Record of Wa:.hinitton (( County, Oregon., is hereby authorized and approved, 4 DE;3CRUTION OF I,RWFRTYS lot 3, Clydesdale OWNER; Clarke BUILDING PERMIT 14U iMF.R; 74-47 PUILUING ADDRUS: 1.2250 S.W. 106th Drive _. This i5 to certify t'te said structure rests With the require- inerts of tha Buildl ,.; Ctde of the City f Tigard and toe %hove referenced restriction it hereCy relen.4ed %nd ternittatt1. IN WITNMIS 1OTF.HEOF, the undersigned auttw)rized )ff!.cer of the city of rtgard has cAtJAed thiq certificate and release of restriction to be exe:uted this _ day of 1y.. ---- STATE OF County of Up mington ) On this da} of lyl�-, personally appeared before ms the above tamed �_ , whose signature appears hereon and who acknowledged to me that he executed the same in his offlcal capacity on behalf of the City of Tigard. Notary cC or•ee My Cor.:mijalon expires: 4a j hE IV"r Wed 7....�L_..ie 7i.✓'A M a.. k O m . ', a I nn'h evrr r b.wAs► STATE OF fI�EGON 4 Cana of wa+bgwn h� 1. p rte, n„r..n Uinet. d �cordc and Ewf1 and F.plfrcre R�c�rdn MNh raw b cart crru". d hw�r rhar r1y MNon MNr Jnn !d b rrcer�ed Md r�cerA11 c.� .awe.•. r (� wrrrVM In. hand and —1 �prrKro• d ",-.Fot 1"Oµs A KRrh � EYI'fbrr �� �- z as 4]r rg''r KXNIBIT "B" CITY OF TIGARD CERTIFICATE OF OCCUPANCY AND Rt:IYASE OF RPSTRICPION The City of T16nrd hcieby certifies that the occupancy of the following described structure or premicceb with reel-ect to which a restriction of occupancy was, on g�zij 15 —� 19_2A recorded In Book q7n , Pagp , Deed Record of :;ti..hington County, Oregon, in hereby authorized and nlil.ruved. DF:UIPTION OF PROPERTY1 lot 3, Clydesdale OWUER: Clerks Ind. . Inc. BUILDING MRMIT NUMBER: 74-47 BUILDING ADDRESS: 12250 S.W.-106th Drive This is to certify the said structure meets with the require- ments of the Building (,,xie of the City of T!gord and the above referenced restriction is hereby released and terminated. IN WITNMS ti11F.REOF, thu unde:nigned authorized officer of the City of Tigard has cauoed this certificate and release of restriction to be executed this day of . ly_ STATE OF URWOM )se. County of Washington ) on this day of 19`, personally appeared before re the above need _, whose cigiwture appears hereon and who acknowledged to me that he executed the same in his offical capacity on behalf of the City of Tigard Notary Public of Oregon �! My Cor=tsslon expires: X � m m m ` cn cl) z n „ C m .... 0 i4A > z 0 cn 0 m z 06 e -- a ❑ p 0 .. _ 0 o --� 0 ! Q r Ca Lj Ma10 -4 ry m x CL o c/) z m0 cn rn �R F LL SPACES MUST BE ENDORSED R TO APPROVAL F TF ESE PLANS - _DATE�-�DEPT. BY.�.t�- T. BY__ _ DATE.. DATE.-Fl DEPT. BY-.._ _ Di.'F I CITY ADMINISTRATOR By _. _ __ . 0:4 TE _. TIGARD WATER GIST. By_. - - -- -- DATE. - i GENERAL TELEPHONE [1Y. -_.._ DAT' N. W. NATURAL GAS BY. P. G. E. BY...__ -- •- -._- DAVE.--- F T. R. F. D. EKY._ - — - D,'TL Tt M . I I City of Tigard I INSPECTION REQUEST I for y I II �V INSPECTION TIME: PPERMIT NO. :_.--- DATE: _ DATE ISSUED : I Z _ I OWNERS NAME : �� ��� --rx01 ADDRESS: CONTRACTOR : TEST : Air p, Water[] , Visuol)4--Loboratory p RESULT: Approved,�6Disapproved p , Pending p SKETCH: I I I i INSPECTOR MATE CNOTR: Attach lvPPl*m*"tal tett dots , a, >� City of Tigard INSPECTION REQUEST for INSPECTION TIME: PERMIT NO. :___.__ DATE: __2 %1-11/'1 DATE ISSUED : Z OWNERS NAME : � �,.� ADDRESS: �L �1: L.�OLS CONTRACTOR : -- - ---- _-_ TEST : Air p, Water Ill Visual p , Laboratory D RESULT: Approved , Disapproved 0 Pending [] SKETCH: 4.47.% -CONSPECT R DATE COTE : Attach supplemental test data bereta� 1 City of Tigard INSPECTION REQUEST for INSPECTION TIME: 41f, _ PERMIT DATE: . �'/ 3/2u DATE ISSUED :--- / Z OWNERS NAI1E : _— ., LA ADDRESS: CONTRACTOR : TEST .' Air [I, Wo ter❑ , Visual ❑ , laboratory ❑ RESULT: Approved, Disapproved D Pending p SKETCH: 0� PECTOR DATE NOTE Attach supplemental feet data beret] I � I � City of Tigard INSPECTION REQUEST for IVINSPECTION TIME : PERMIT NO. : ---..- DATE: -') O. : --_.-_DATE: .') I .V71V DATE ISSUED*---," OWNERS NAME . d ----- ---- I ADDRESS : ° 3 -- I CONTRACTOR -- TEST: Air 0 Water [IVieual� Laboratory ❑ I RESULT: Approved Disapproved ❑ Pending ❑ i SKETCH: ,.,,,/ 1-1.1t . ?2 -tom` I - •--�-�>t. �.� �.�` //.'ems - .3 .2-7 I I I I INSPECTOR DATE CNOTE: Attach •uppl•mental tett data heret� CITY OF TIGA C NICA� M� DATE. PERMIT NO. = RECEIPT N0. f3o�lA BY ------- -- FEE — 1. Permit shall be obtained prior to commencement of installation. 2. Permit shall be obtained for all appliances which are to become a fixture to the building. 3. Relocation, replacements, alterations, or changes to burners and duct work require permits. 4. All work to be concealed must be inspected before cover up. New Installation 0 Replace ❑ Relocation ❑ Addition ❑ Alteration ❑ CONTR. Clarke Industries-.- OAR Same _ ADDRESS 8830 SW Pecker Drive Portland WORK ADDRESS _12250 SW. 106th Pr_i yr APPLICANT imperial Pb l a & Htg I nc. TELEPHONE NO. 777 3801 FURNACE - MANUFACTURER _ Gene ra I Electric TELEPHONE NO. -mrm HEAT Input rating (Btu Per Hour) 80,000 Vent Size 1 411 Flue Size 5. 0 FUEL OIL ❑ GAS 0, ELECT ❑ OTHER M.�----------_ _�------- TOTAL SO. FT. mop FloorMain Floor 1395_ � Basement GENERAL ITEM NO. FEE ITEM NO. FEE 0_;�p__ For Issuance of Permitx _�_0(� Boilers Over New - Under 100 000 Btu T 4 .00_ __ Air H_andling_1Os000 CFM •— M New - Over 0,000 Btu Air�HandlIpg Over 10..000 CFM _ Floor Furnace 4.00_ Ev�apora�fve Cooler _ .0 Wail - F oor - u�en ed x.00 _ Ven . Fan Insta ends T,�II � ��ien���s 'em � 0 Repair -Teat & Cooli.ng :00^ _ Hood __ D-oilers Jnder_3 � � 4.00_ __ _est c Uncinerator--_—_-_ 0 Boi ers o 15 H ��----� - -a�-�o�-�:s tee------- 3 0 $oi�"ers 137- 0 10.00 _ _._— - - — Boi ers to-0 H __-- Uq _� 570 _. __ _______--- _-.--------- -- INSPECTOR'S COMMENTS - _..-___-- --•--------- APPROVED BY DATE —__ ISSUED BY ' _— DATL —� Imperial Plum . mtin nc.,' bina &T Signature of Applicant PLUMBING PERMIT APPLICATION Jurisdiction of No. Type of Fixture Fee Permit No. -► y i( Permit fee __.130.30 2 Water Closets (Toilets) 5.00 Permit Issued _amu E � 't Bath Tubs Approved by _ Lavato -Wash Basin _ _�nye Bt)ilding Permit Shower _ Receipt No. in s, Dshwashin M_ _ I Sinks.- Kitchen •—� n _ Sinks, Ondinary— —_ .Location of Building Binksz Bar_------_ ____ —_____J 22.50 SW I QUH De I vim_- �-------------— Sinks, S1°P _ _ I _AutoMic_DissF;washer__ ,�n _—__ ._ .�-- ----_-_---_-----.------•- I Disposal Laundry Trays__— _ __ Name & Address of Owner _•_��___ ______—_ _ Drains, Floor _— CLARKE INDUSTRIES INC Drains�Area _ A830 Std PFCKEP DR _ _Drains,_ Refrigerator _ POPTLAND, OREGON 972.23 Rain Drains 5�d Automatic Washer y�n2 Name & Address of Plumber Foun-ca-in-Ts=rinking IMPERIAL PLUVR I NG & HEAT I NC: INC Fountains, Soda -- �_ P 0 Pox #06327 ----�'_-M -- Hot Water Tangy- ��_p0 _ 136PTIAND, OREGON 972.06_—_ __— Water Service -( Urinals — _ Buildin Old or New Alter Re air or atcFi-Basins - ar -- Tns a N_FW INSTALL Lawn_Sprinnklf�r._ •ystem ____ --- ----—----•-------—�Swimming Pool Pool _ - Spr i ncel e r Sys tem -- ----- ---- --------- - ---_--------This permit becomes null and void if work or construction authorized is not commenced within 60 days, or if construction or work is suspended or abandoned for a period of 120 days at any time after work .is commenced. All plumbing firms must be licensed by the City of Tigard and post a $1,000 bond, I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this typ of work will be complied with whether specified herein or not, the granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. W,i'CPIAL PHIMPING d HEATING. INC. i r ) Signature of Applicant PPLr- SUPV y City of Tigard INSPECTION RE© UEST for I INSPECTION TIME : -4L!—o— PERMIT NO. : I DATE. _400 DATE ISSUED:._.1_L_ OWNERS NAME : --. ADDRESS : f- �' �-"_ /a TO ,64 ICONTRACTOR :—_—___2��_ -,.aQ____ . ITEST' Air ❑, Water Ej , Visual ❑ , Laboratory ❑ RESULT. Approved ❑ Disapproved Ll Pending C] I SKETCH'. , .- -- - ,- . . 7 �! I i i I I SPECTOR DATE COTE Attach Supplemental lost data heret] w City of Tigard I INSPECTION REQUEST for INSPECTION TIME : -S4P PERMIT NO. : DATE: V111 ,17 V DATE ISSUED: . I OWNERS NAME : ADDRESS : I CONTRACTOR :-- / ITEST' Air O, Water p , Vieuai ❑ , Laboratory ❑ RESULT. Approved fl Disapproved ❑ Pending p I SKETCH: '3 0 I I I INSPECTOR DATE ICOTE Attach 9uvplementaI test data hereto I CITY OF TIGARD 7170 R W M.'n Strom 11CAV0, OREGON 97715 APPLICATION FUR HUILOING PERMIT Now Construction Demolish ❑ Addition ® Remodel Move❑ ZONING r DATE ISSUED tt_- �- 7� --� BUILDING PERMIT BUILDING FEEy c No. LATE RECEIVED �i_- BY PtA" t.`FtR" $ i c' :•.� rt'1 � ' 1t __-__---�� OTHER $ G'O VALUATION y 2�94,k2�- TOTAL $ R E;C F.I PT No. TWO SETS OF PIANS AND PLOT PLANS MUST HE FURNISHED WITH APPLICATION LOT #_-C3 elf MAP o��/ - MA CENSUS TRACT JOB $ Architect or __— Address Phone Owner Address r rA Phone -q3%-7-- Builder- Address uilder_Address ' C? / ----Phone 2-YY-.5'2 9 t- BUILDING USE Single Res. ®� Multi Res. ❑ Comm. ❑ Industrial❑ OCCUPANCY GROUP No. of Stories—_�_ Total Height Y Area of Lot jO..7Lr f r•IrAGt' Type of Construction I II III IV Floor Floor Area D Set Backs: Front_2(Iaack " 0 L.Sider_L_ R.Side_y Private Sewer Pipe SI r.e_-_�r V- Sewer--)C'--- Septic Tank Water Service Pipe Size Storm Sewer ❑ Ditch ❑ Drvwell❑ Street and Curb Driveway Width----- J __--- - —No. of Parking Spaces, ­_-_ _— SF.PA:.ATE PF:RMITS REQUIRED FOR SEWER AND PLUMHING SPECIAL INFOk4ATION _ r ADDRESS ASSIGNF:D��S �— FIELD CHECK BY DATE. PE'R14IT APPROVED B� It is understood that all work will conform with applicabl codes and ordinances of the State of Oregon and the City of Tigard, Oregon, and that the building will not be occupied until a Certificate of Occupancy has been issued by the City of Tigard building Inspector. l- ; gneture of -Kpp7[cant i.. 11 , 3751 EXHIBIT *A* CITY OF TIGARD Residential Structure Occupany Restriction KNOW ALL REN BY THESE PRESENTS, that occupancy of residential structure (e) on the following described lands prior to the recording of an occupancy permit releasing the restriction in the Deed R6cords of Washington County, Oregon, is prohibited by the ordinance of the City of Tigard, Oregon: (The City will issue a asks:: as soon as a fled inspection determines that the construction is satisfactorily completed) DESCRIPTION Of PROPERTYi Lot #3 Clydesdale ADDRESS OF PROPERTyt 12250 S.W. 106th Drive NAME OF OUNEfla Clark© Ind. In, . ADDRESS nr OHN RI 8630 S.W. Hoc.kor Drivo -- IN WITNESS WHEREOF, the undersigned has caused this restriction to be executed this —� day ofr1L . L OWNER t Name L'• APPA D: T! e y k-- .� u ng c a City of Tigard STATE OF ORCGnh County of Washington es. , ,4 1l < < , 19W Personally appeared before me the above namedi4� (c 0 � " i� and acknowledged the foregoing instrument to be _ voluntary act and deed. Notery P blic for Oregon • - Ily CoalJ�� fxplrsst ac�Oq TNOM� N A.a.e. « 11r.w•4 � ►....., 970 fAI.E69$ a�z� E y,� �� I '� ����� � � � a � �� `4$�� b r{e i �6 y �� W�� 1 � � � � I :.� W � �� ►. ; - G f � �� �3 09 EXHIBIT "A" CITY Or TIGAUQ Residential Structure Occupany Restriction KNOW ALL REN BY THESE PRESENTS, that occupancy of residential structure (s) on the following described lands prior to the recording of an occupancy permit releasing the restriction in the Dead Records of Weshington County, Oregon, is prohibited by the ordinance of the City of Tigard, Oregon: (The City will Issue a release as soon ae a fieel Inspection determines that the construction is satisfactorily completed) CSCRIPTION OF PROPtRTY; Lot #3 Clydesdale ADDRESS OF PROPERTY; 12250 9,U, .106th Drive NAME. -Dr ON 14 1 Clarke Ind. Inc, ADDRESS Or OWNER: _ 8830 j_W_j Hscksr Drive IN WITNESS WHEREOF, the undersigned has caused this restriction to be executed this day of OWNER; 1-7 ell ..e APPROVED; - — B y 1.� u J 4 %City of Tigard STATE Or OREGON County of Washington ea. , Personally appeared before me the above named — and acknowledged the foregoing instrument to be _ voluntary act ord deed. 1o'err r iTic agon My Commiesion Expirset VJ� �� C ti `19'i 3 UNIFIED SEWERAGE AGENCY NO. _ 4954 WASHINGTON COUNTY DATE April 9,19.74 CITY OF— Tigard, Oregon 97223 APPLICATION FOR SEWER CONNECTION PERMIT OWNER: -_ Clarke Ind. Inc. OWNER'S ADDRESS: 12250 S.W. 106th Drive STREET Tigard Oregon_ - 9722-3 ------ -- — ------ -- - C-IT-Y STATE ZIP BUILDING SITE: LOT----3--. ___ BLOCK - . -- ADDITION _ TAX LOT N0. -----..----_--- TYPE OF OCCUPANCY _S_l!]gleR sidant- - _- ADDRESS ---- I� DWELLING UNITS- One FIXTURE UNITS -__- -- - SURCHARGE IF APPLICABLE - ----_-. _--- ---------------- - PERMIT FEE _E-Q0- ----- INSPECTION FEE _ -.- - TOTAL DEPOSITED $67.5-00_---_ (NWI (EXIS-T�ING) / -BUILDING SEWER SYSTEM - -� $150. 001 ie Applicant agrees to comply with all rules and regu/tions of the Unified Sewerage Agency. APPLICANT __ SEWER PERMIT THIS PERMIT AUTHORIZES CONNECTION 10 THE SEWER SYSTEM. LINE SIZE ____ INSTALLER - --__ -- ---- RECEIVED BY (AGENCY OR ITS AGENT COMMENTS: This Application and permit expires in ninety (90) days. The amount paid will be forfeited should expiration occur. FORM No.671E (Ettrew) EARNEST MONEY RECEIPT _ Srevens•Ness low Publislin Co.0 ^ �iw o,eco Portland,Oregon 972W g SS City 1�+/f I) State �� �O ,LI'��" C , 19 PECEIVED FROM �� yvf s% f jazt a!-e I _-- -- -- (hereinafter called "purchaser") the sum o(�-1 id O Q P t� Dollars ($ C•7 r"f) -1 in the form of`n -4!� as earnest money and in part payment for the purchase of the ICALH CHCCK,ax Ar'r) following described real estate situated in the City of_ TT CR az ___ , County of �S�f`r/k,p/!/�or✓, State of •�� to-Witt which we have this day sold to sold purchaser for the sum of r11.t1.'�2_ / r y sx ^^� " QFO Dollars Green o on the following term to• it: The sum hemi above receipted for, of �rD N`.A.'v�.r�h Dollars IE S )t , ,vs fie~�' y u✓ i ti' Dollars If �Cop o __t:____.., as additional earnest Mone , the sum of T�,�PI✓i v /=,/e A o.'s r 4`1 2.-7 0 o v .� (deed, yl,� Dollars IE._ Upon acceptance of isle and delivery of ',t Lee�srMli the sum of t r- Balance of— IO 5.j.�4! O/' C sJru rJ.vTtsvd� /�0/t 5/s 'C 4•c/f�✓ dollars payable as follows: A title Insurance policy from o reliable comrany Insuring marketable title in seller It to be furnished purchaser In due course of seller's expense; preliminary,to closing, once,which shall be conclusive evidence as to seller's teller may furnish a Title insurance company's tit o report showing Its willingness to Issue title inwrrecord tiller ar In trees of sold title insurance policy,sellermay furnish purchaser an abstract of title prepared by a reliable abstrocl company. It s agreed that fl serer does nal approve This tale within The period allowed broker below In which to secure seller's acceptance,or If the title to the sold premises Is not Insurable or marketable, or cannot be made so within thirty days alter notice containing a written statement of defects is delivered to seller, the sold earnest money shall be refunded. But if sold sale is approved by seller and fill*to The sold premises h insurable or marketable and purchaser neglecls or refuse$to comply with any of sold conditions within ren days alter the sold evidence of Title is furnished and To make payments promptly, as hereinabove sol forth,then the earnest money harem receiplod for (Including said additional earnest money) sholl be forfelted to seller as liquidated damages and this contract thereupon shall be of no further binding effect. The property is to be conveyed by good and tulficienl deed revand clear of all liens and encumbrances except zoning ordinances, building and use restrictions, reservations in Federal potent%,easements of record and, N 0 r All ithir ton, plumbing and heating fixtures and equipment lincluding stoker and all tanks but excluding fir* plea fixtures and equipmentl, water heaven, electric Ilphf futures, light bulbs and fluorescent lamps, bathroom fixtures, venetlon blinds, drapery and curtain rods, window and door steins, tlorm doors and windows, attached linoleum, attached television antenna, all shrubs and trees and all fixtures except are to 6@ left upon the premises as part of the properly purchased. The following personali property is also included m o part of the property for said purchase pace, flat and putthover agree to pro rate the taxes which are due and Payable for the currier tax year. Rent+, Interest, premiums for existing inwronce and other montes shall be P, ratrd on n calendar year basis. Adjustments era to be made o+ of the date of the consummation of said sole of delivery of possession, whichever first occurs. Fnwmbrnn,rs to be dwho,ged by seller mor be paid at his option out of purchase money at date of closing. SELLER AND PURCHASER AGREE THAT SUBJECT SALE WILL BE CLOSED IN ESCROW, THE COST OF WHICH SHALL BE BORNE COEQUALLY BETWEEN SELLER AND PURCHASER. w F CcIt/; 7o 0c7,C'•) Posvrcclon of said pro premises I%to be delivered to purchaser on rlFsl6s»7-Cls r.I e f rt 9 or as soon thereafter as exlsting laws and regulations will permit remove! ul temmnts, II any. lime is the essence of this contract. This contract is binding upon the heirs, e.ecutort, administrators, successor% and assigns of buyer and seller. However, the purchaser'% r ghls herein are not assignable without written consent of seller. In any suit or oclion brought on this contract, The prevalling party shall be en- tilled to recover reasonable attorney's lees to be flood by the court. Broker Addre+s_ - Pho AGREEMENT 10 PURCHASE }_ n 19^T ✓ AS rl/S y S,ori,f r cif f lit 5 1� 1 hereby ogres to porches the property herein dettribed� and to Pay the price of f1;C`r tr G at set Forth above and grant to told agent a period of days hereafter to se�vre seller's occeplonce hereof, during which period my offer shall not be subject to revocation. Said deed or contract to be In name of Joe S e P t cPR,I,tic Addrot%�l�__ N{;�' '7,] rA _ Purcho%er L r' _ (S E A L) Phnne,__2. 1 7-41-r-7--- / � ._IS 1 A l) u � �ACREEMENt TO SEII 19 1 hereby approve and accept the safe of above described property and the price and condition$ as set forth In above contract, and ogres to furnish evidence of title as obervs p,lvided; oho the said deed when oared. 'rte �n Addreny d�4� S L s Ad Seller�Z 1 /" t� _IS 1 A l) Phone-1:. IS E A t) DELIVER PROMPTLY TO PURCHASER,either manually or by registered mail,a copy hereof showing seller's acceptance. — Purchorer ocs—Iscigot rece,pt of the foregoing Indrument boo-ing hit signaturs end that of the seller Copy hereof th"ImSdirr$signs If acceptance tent purchaser by registered mall showing ecceplance. to purchaser'+above address Purchaser _ __ IIrerurn recelpt r uerted) on 10 DATE heturn rec@Tpl card tot Ived and onoched to broker'%copy 19 SEVER'& CLOSING INSTRUCTIONS 11 1 agree to pay lmthwith to the above named broker a ce'nnissian amaunttng to S for services rendered In this transadlon. In the event of d farfNrure of the deposit as above p,o.,ded the said deposit shall be puid to or retolned by the brokerI� orient o the agreed upon commission with residue to tlw seller. I ourhoric� sold broker to Pa out of the cath proceeds of tole the expente of furnishing evidence of fill@, of retarding fees and revenue stamp$, If any, os well os any encumbrances on %ai premises payable by me at/of before closing. 1 acknowtedge receipt of o copy of t6h eonstt mmey receipt bearing my signatureitl and shot of the purchowr homed above. HOTh IF ANY BLANK SPACES ARE INSUFFICIENT, USE SN No. BIO Seller _ _ I'S 1 A 1.) "HANDY PAD", TO BE SEPARATELY SIGNED BY BUYER AND SEVER. 1E 1 A 1.) 106 #etKIKE WHICHCV[R PNKAst NOT APPLICAeLt BROKER'S COPY - FILE IN DEAL ENVELOPE