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AFFIDA VIT
000847
STATE OF WYOMING
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) ss...
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COUNTY OF Teton
CO~NOW, Gordon R. Smith, whose address is ß ðu ,K :$-33(
~ ~~ 4. V"¡;. g3ð () ( who, being duly
sworn on oath accor ing to law, does hereby make the followmg statements of facts and
affirm:
1, That he is an owner 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 WITHIN THE SY;SE~ SECTION 29
T37N R118W LINCOLN COUNTY, WYOMING", dated 21 March 2005, as
revised.
2. That he has reviewed said plat.
3. That he has read and understands the provisions of the Certificate of Owner
thereon and the implications thereof.
4. 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 thi;3L day of
2005.
RECEIVED 12/1/2006 at 2:26 PM
RECEIVING # 924967
BOOK: 641 PAGE: 847
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
The foregoing instrument was acknowledged before me by Gordon R. Smith this "31
day of (1It~ 2005.
~;l-.~
Notary Public
My commission expires: (0/ ..J/7,...e?O r
, KÞ.R£:N t WYUE - NOTARV PUBUO
~.~ C~unty 0' & State of
$ . Lmcoln ~ Wyoming
~~j! CommissIon Expires a>. 'U'ÀP