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AFFIDA VIT
000845
AI21~A
STATE OF WY-oMIN&
~u~A
COUNTY OF~ ~COLN
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COMES NOW, Joe Deromedis and Shirlee Deromedis, whose address is P.O. Box 3426,
Alpine, Wyoming 83128 who, being duly sworn on oath according to law, do hereby
make the following statements of facts and affmn:
5. That they are the owners of part of the land included within that plat titled,
"FINAL PLAT GRAND LAKE ADDITION TO THE TOWN OF ALPINE
BEING PART OF LAKEVIEW ESTATES INCORPORATED TRACT (A) AND
GRAND VIEW ENTERPRISES INCORPORATED WI1HIN THE S~SEy..
SECTION 29 T37N Rl18W LINCOLN COUNTY, WYOMING", dated 21 March
2005, as revised.
6. That they have reviewed said plat.
7. That they have read and understand the provisions of the Certificate of Owner
thereon and the implications thereof.
8. 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~ day of (!)d:;. 2005.
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s . eo I)eromedis W
The foregoing instrument ~. owledged before me by Joe Deromedis and Shirlee
Deromedis thia..:v- day of ~ 20~ .
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Notary Public
My commission expires:
RECEIVED 12/1/2006 at 2:25 PM
RECEIVING # 924965
BOOK: 641 PAGE: 845
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY