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AFFIDAVIT
STATE OF
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RECEIVED 2/23/2007 at 12:10 PM
RECEIVING # 926995
BOOK: 649 PAGE: 521
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
COUNTY OF
COMES NOW, Robert H. Moss and Patricia R. Moss whose address is 1685 West 1400
North, Ptovo, Utah 84604 who, being duly sworn on oath according to law, do hereby
make the f-allowing statements of facts and a.ffirm:
1. That the they are the owners of Lot 808 and Lot 810 of Lakevicw Estates Third
Addition to the Town of Alpine of record in the Office of the Clerk of Liucoln
County, Wyoming as Plat No. 250-D;
2. That they have reviewed the plat titled. "LAKEVmW ESTATES TENTII
ADDITION BEING PART OF LAKEVIEW ESTATES INCORPORATED TRACT
(A) WITHIN THE INCORPORATED LIMITS OF TIIE TOWN OF ALPINE
WITHJN S~SEY. SECTION 29 T37N R118W LINCOLN COUNTY, WYOMING",
dated 7 Octobet 2004, as revised, which includes the above described land;
3. That they have read the Certificate of Owner on said Tenth Addition plat and
understand the provisions and the impUcations 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 this ~ day of Mtt.lJ 2006.
#iJlÂMh~
Patricia R. Moss
The foregoing instrument was aclœowledged before me by Robert H. Moss and Patricia
R. Moss this 2:L day of _"lt~ . 2006.
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Nota PUD 'c
NOTARY PUBLIC
AMY L MAGLEBY
111 N Freedom Blvd
Provo, UT 84601
My Commission Expires
January 9, 2010
STATE OF UïM1
My commission expires: \ 1"\ I b
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