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AFFIDAVIT OF OWNER
STATE OF WYOMING
COUNTY OF LINCOLN
COMES NOW, Carol Chichinsky, whose address mailing address is P.O. Box 3827,
Jackson, Wyoming 83001, who, being duly sworn on oath according to law, do hereby
make the following statements of facts and affirms:
That she is part owner of the land described under the Certificate of Surveyor on the
Plat titled, "2ND AMENDED PLAT, SALT RIVER COVE DIVISION NO. 1
WHITHIN THE S.W. QUARTER OF SECTION 10, T36N, R119W., 6rH P.M.,
LINCOLN COUNTy, WYOMING" approved July 19, 2005, as revised.
2. That she has reviewed said plat.
3. That she has read and understand the provisions of the Certificate of Owners thereon
and the implications thereof.
That this affidavit is. signed in the stead of and has the Same effect as if the original
mylar of said plat had been signed.
DATED this:. '2.~. day of~, 2005.
Carol Chichinsky ~
CommissiorL,Expiration Date:
RECEIVED 8/1/2005 at 2:49 PM
RECEIVING# 910482
BOOK: 592 PAGE: 790
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY