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Report accessory dwelling unit for which an exemption is granted is rented or listed as a short-term rental (AirBnb, VRBO,etc.), the owner of the property at that time will be required to pay to the city the amount of the exempted system development charges,plus interest.I also understand that an advertisement of the accessory dwelling unit as a short-term rental is sufficient evidence for the city to assess the amount of the exempted SDCs. I understand that this restriction will bind the property even through transfers of ownership. 3. I understand that the City may verify any of the information contained in this application at any time. 4. I understand that the City,its agents, successors and assigns will rely on the information contained in this application and the information represented herein;if any information should change prior to obtaining a certificate of occupancy,I will notify the City. I certify that to the best of my knowledge,all the information provided in this application is true and accurate as of the date provided opposite my signatures below. Z40- . --- ��, J� L / --f i/z V2.0 Pr perry owner signatu >nut Name Date 1 /%E1-l4 L . I Li. M 4r4 Propert, wne ignature Print.Name Date APPLICANTS It is the responsibility of the applicant to ensure that the application for the SDC exemption is submitted and approved before the payment of all SDCs arc due to the City.SDCs are calculated and due and payable pursuant to Tigard Municipal Code 3.24.080. In accordance with 1MC 3.24.080.B,the City may not issue a building permit or allow connection to the City's systems until either all SDCs have been paid in full or an exemption has been granted. It is the applicant's sole responsibility to ensure an exemption application is submitted to the City in a timely manner in order to meet the timelines in'l'MC 3.24.080. SUBMIT COMMA:'I'I D APPLICATION TO: SDC Administrator,Finance and Information Services,City of Tigard, 13125 SW hall Blvd.,Tigard, OR 97223. If dropping the application off in person,drop off at the Utility Billing(CB) front counter located within'Tigard City I lall. Questions can he directed to the SDC Administrator at SDC@tigard-or.gov or 503-718-2460. STAFF USE ONLS Received by: mOV Q Cfn Dater 282d0 Approved by: Mk.. b Date:3 tt r Amount of SDCs Exempt: Park: 'A b `O-1 Transportation: If, 3 09 t© Sb' � City ofTigard • 13125 SW I Tall BIed. • "Tigard,Oregon 97223 • N‘ww.tigard or.gov • 503.718,2421 • Page 1 of2 Washington County.Oregon 2019-048504 D-DPR Stn=2 S AKINS 07/2612019 10:34:11 AM RECORDING COVER SHEET S25.00 Si 1.00$5.00$60.00 $101.00 (Per ORS 205.234) I,Richard Hobernicht,[blotter of Assessment and Taxation and Es- This cover sheet has been prepared by the Officio County Clerk for Washington County.Oregon,do hereby certify that the within instrument of writing was received and person presenting the attached instrument • recorded in the book of records of said county. for recording.Any errors in this cover sheet Richard Hobernicht,Director of Do Not effect the transaction(s)contained Assessment and Taxation.Ex-Officio In this instrument Itself. After recording return to: Patricia Leigh Culbert and Elizabeth Lutes Hillman 5000 MacArthur Boulevard, PMV 9914 Oakland,CA 94613 Mail Tax statements to: See Above • Namelsi of Transaction(s): Described in the attached instrument and required by ORS 205.234(a)(i.e.Warranty Deed) Personal Representative Deed Direct Party[per ORS 205.125 Rif by/Grantor(per ORS 205.160): Diane McLaughlin, Co-Personal Representative and Mike McLaughlin,Co-Personal Representative of the Estate of Richard Dale McLaughlin,County Circuit Court Case No. 17PB07250 f= Indirect Party(Per ORS 205.125`llfal/Grantee(per ORS 205.160): Patricia Leigh Culbert and Elizabeth Lutes Hillman,a married couple,as joint tenants Consideration Paid (per ORS93.030f: $0.00 Rerecorded at the request of WFG to correct Legal Description Previously recorded as Fee No.2 0 19=0 34 9 04. (Legal description if corrected is attached to included certified document of the original) mIL Washington County,Oregon 2019-048504 D-DPSin=2 S AKINS 07/2612019 10:34:11 AM 1n RECORDING COVER SHEET S25.00 Si 1.00 55.00 S60.00 $101.00 (Per ORS 205.234) I,Richard hobernickt,Director of Assessment and Taxation and Ex- This cover sheet has been prepared by the Oaicio County Clerk rorWashington County,Oregon,do hereby certify that the within instrument of writing was received and person presenting the attached instrument • recorded in the book of records of said county. for recording.Any errors in this cover sheet Richard Hobernicht.Director of Do Not effect the transaction(s)contained Assessment and Taxation.Ex-Officio In this instrument Itself. After recording return to: Patricia Leigh Culbert and Elizabeth Lutes Hillman _ 5000 MacArthur Boulevard, PMV 9914 Oakland,CA 94613 Mail Tax statements to: See Above lj` Name's)of Transaction(s): Described in the attached Instrument and required by ORS 205.234(a){i.e.Warranty Deed) Personal Representative Deed Direct Party leer ORS 205.125(tlibll/Grantor(per ORS 205.1601: Diane McLaughlin,Co-Personal Representative and Mike McLaughlin,Co-Personal Representative of the Estate of Richard Dale McLaughlin,County Circuit Court Case No.17PB07250 - sy g Indirect Party(per ORS 205,1zslail_allGr ntee leer oR5 2os.i50i: 0 Patricia Leigh Culbert and Elizabeth Lutes Hillman,a married couple,as joint tenants Consideration Paid(per ORS 93.4301: $0.00 Rerecorded at the request of WFG to correct Legal Description Previously recorded as Fee No.2019-034904. (Legal description if corrected is attached to included certified document of the original) RECORDING COVER SHEET (Per ORS 205.234) This cover sheet has been prepared by the person presenting the attached instrument for recording.Any errors in this cover sheet Do Not effect the transaction(s) contained In this instrument itself. After recording return to: Patricia Leigh Culbert and Elizabeth Lutes Hillman 5000 MacArthur Boulevard, PMV 9914 Oakland, CA 94613 Mail Tax statements to: See Above • Name(s)of Transaction(s): Described in the attached instrument and required by ORS 205.234(a)(i.e.Warranty Deed) Personal Representative Deed Direct Party(per ORS 205.125 flub))/Grantor(per ORS 205.160): Diane McLaughlin,Co-Personal Representative and Mike McLaughlin, Co-Personal Representative of the Estate of Richard Dale McLaughlin, County Circuit Court Case No. 17PB07250 Indirect Party(per ORS 205.125[1][al/Grantee (per ORS 205.160): Patricia Leigh Culbert and Elizabeth Lutes Hillman, a married couple, as joint tenants Consideration Paid(per ORS 93.030): $0.00 Rerecorded at the request of WIG to correct Legal Description Previously recorded as Fee No. 2019-034904. (Legal description if corrected is attached to included certified document of the original) EXHIBIT"A" LEGAL DESCRIPTION The following described property in Section 36, Township 1 South, Range 1 West of the Willamette Meridian, in the City of Tigard, County of Washington and State of Oregon: Beginning at the Southwest corner of that certain tract of land conveyed to Gene B. Talbott and Bronibel Talbott by Deed recorded June 16, 1949 in Book 296, Page 171, Washington County Deed Records being North 89°48'West 1124.84 feet and South 0°09' West 1068.9 feet from the Northeast corner of said Section 36; thence North, along the West.line of the said Talbott Tract, a distance of 120 feet to the Northwest corner thereof; thence West, parallel with the center line of SW Oak Street, 80.00 feet to a point 35.00 feet East of the West line of that tract conveyed to the International Christian Leprosy Mission, an Oregon corporation by Deed recorded October 22, 1953 in Book 349, Page 455, said Deed Records; thence South, parallel with the West line of said Mission Tract, 120.00 feet to the South line of said tract, also being the North line of SW Oak Street; thence East, along the North line of SW Oak Street, 80.00 feet to the point of beginning. Washington County.Oregon 2019-034904 D-DPR 06/06/2019 10:21:17 AM File No.: 19-289576 Stn=11 C WHITE S15.00 S11.00$5.00 S60.00 S322.00 $413.00 7 Grantor I.Richard Hobernicht,Director of Assessment and Taxation and Ex. Officio County Clerk for Washington County,Oregon,do hereby Estate of Richard McLaughlin certify that the within instrument of writing was received end 301 A St E recorded in the book of records of said county. Vale,OR 97918 Richard Hobernicht,Director of Grantee Assessment and Taxation,Ex-Officio Patricia Leigh Culbert and Elizabeth Lutes Hillman 5000 MacArthur Boulevard, PMV 9914 Oakland,CA 94613 After recording return to Patricia Leigh Culbert and Elizabeth Lutes Hillman 5000 MacArthur Boulevard,PMV 9914 Oakland,CA 94613 Until requested,all tax statements shall be sent to Patricia Leigh Culbert and Elizabeth Lutes Hillman 5000 MacArthur Boulevard,PMV 9914 Oakland,CA 94613 Tax Acct No(s): 1S136AA-01202,R277710 , Reserved for Recorder's Use PERSONAL REPRESENTATIVE DEED Diane McLaughlin, Co-Personal Representative and Mike McLaughlin, Co-Personal Representative of the Estate of Richard Dale McLaughlin, County Circuit Court Case No. 17PB07250, Grantor, conveys to Patricia Leigh Culbert and Elizabeth Lutes Hillman, a married couple, as joint tenants, Grantee, the following real property described in the attached Exhibit A. hQ The true consideration for this conveyance is $322,000.00. (Here comply with requirements of ORS 93.030) t' BEFORE SIGNING OR ACCEPTING THIS INSTRUMENT,THE PERSON TRANSFERRING FEE TITLE SHOULD ' INQUIRE ABOUT THE PERSON'S RIGHTS, IF ANY, UNDER ORS 195.300, 195.301 AND 195.305 TO 195.336 ap AND SECTIONS 5 TO 11, CHAPTER 424, OREGON LAWS 2007, SECTIONS 2 TO 9 AND 17, CHAPTER 855, �: OREGON LAWS 2009,AND SECTIONS 2 TO 7,CHAPTER 8, OREGON LAWS 2010. THIS INSTRUMENT DOES u NOT ALLOW USE OF-THE PROPERTY DESCRIBED IN THIS INSTRUMENT IN VIOLATION OF APPLICABLE LAND USE LAWS AND REGULATIONS. BEFORE SIGNING OR ACCEPTING THIS INSTRUMENT,THE PERSON ACQUIRING FEE TITLE TO THE PROPERTY SHOULD CHECK WITH THE APPROPRIATE CITY OR COUNTY PLANNING DEPARTMENT TO VERIFY THAT THE UNIT OF LAND BEING TRANSFERRED IS A LAWFULLY ESTABLISHED LOT OR PARCEL,AS DEFINED IN ORS 92.010 OR 215.010,TO VERIFY THE APPROVED USES OF THE LOT OR PARCEL, TO DETERMINE ANY LIMITS ON LAWSUITS AGAINST FARMING OR FOREST PRACTICES, AS DEFINED IN ORS 30.930, AND TO INQUIRE ABOUT THE RIGHTS OF NEIGHBORING PROPERTY OWNERS, IF ANY, UNDER ORS 195.300, 195.301 AND 195.305 TO 195.336 AND SECTIONS 5 TO 11, CHAPTER 424, OREGON LAWS 2007, SECTIONS 2 TO 9 AND 17, CHAPTER 855, OREGON LAWS 2009 AND SECTIONS 2 TO 7,CHAPTER 8,OREGON LAWS 2010, Page 1 of 3 • Executed this 5 day of June, 2019 61 :Diane lcLaugiffin,Co-Personal Representative by: Mike McLaughlin, Co-Pers • Representiative STATE OF OREGON COUNTY OF CLACKAMAS t,,J, eis.'ristrument was acknowledged before me this day of June, 2019 by Diane McLaughlin and -Mtke;_M aughlin,as Co-Personal Representatives of the Estate of Richard Dale McLaughlin NotaryPublicforOregon l \ My Commission Expires: My ---.-----...__.___.. .,.-,•_-__.,__ .i OFFICIAL STAMP ' ir, SHEILA SUPLIDO SCHWARTZ i NOTARYPUBLIC•OREGON �,41 COMMISSION NO.947057 — WYCOMMISSOriWIRES FEB RUARY0B,2020 Page 2 of 3 . EXHIBIT"A" LEGAL DESCRIPTION The following described property in Section 36, Township 1 South, Range 1 West of the Willamette Meridian, in the City of Tigard, County of Washington and State of Oregon: Beginning at the Southwest corner of that certain tract of land conveyed to Gene B. Talbott and Bronibel Talbott by Deed recorded June 16, 1949 in Book 296, Page 171, Washington County Deed Records being North 89°48'West 1124.84 feet and South 0°09'West 1068.9 feet from the Northeast corner of said Section 36; thence North, along the West line of the said Talbott Tract, a distance of 120 feet to the Northwest corner thereof; thence West, parallel with the center line of SW Oak Street, 90.00 feet to a point 35.00 feet East of the West line of that tract conveyed to the International Christian Leprosy Mission, an Oregon corporation by Deed recorded October 22, 1953 in Book 349, Page 455, said Deed Records; thence South, parallel with the West line of said Mission Tract, 120.00 feet to the South line of said tract, also being the North line of SW Oak Street; thence East, along the North line of SW Oak Street, 80.00 feet to the point of beginning. • • ,oa•tnxc 1.12ichard W.Hol,crnicht, lire lor ofAsscsment card Taxation and I x-Officio County Clerk for i i..1'c 4-,> -"A Washington County.Orcgou.do hereby certify this ppijl. + r i to be a true and collect copy or the original. '• s F � Witness my hand this 17th of July.2019 y� w d C., By; '/1 AM " "U M.Lopez-Deputy Page 3 of 3