HomeMy WebLinkAbout930376
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STATE OF ÆltlZON.Mf¡
COUNTY OF ~
AFFIDA VIT
RECEIVED 6/15/2007 at 11 :04 AM
RECEIVING # 930376
BOOK: 662 PAGE: 122
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
)
) SS.
)
COMES NOW Kevin Daniel Fabritz and Jacqueline Margaret Fabritz, whose address is
319 16th St., Seal Beach, CA 90740, and being duly sworn on oath according to law, do hereby
make the following statements of facts and affirm:
1. That they are an owner of the land described under the Certificate of Surveyor on the plat
titled, "ALPINE VILLAGE SUBDIVISION NO.1 PLAT 3 AMENDED - 7TH FILING
IDENTICAL WITH LOT 69 ALPINE VILLAGE SUBDIVISION NO.1 PLAT 3
AMENDED WITHIN SE~ SECTION 18 T37N R118W LINCOLN COUNTY,
WYOMING", dated 22 March 2007, as revised,
2, That the undersigned have reviewed said plat.
3. That the undersigned have read and understand 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 this ~ day of lJr¡ J _ ,2007.
Kevin Daniel Fabritz and Jacqueline Margaret Fabritz
By: ~~~
e in Daniel Fabritz
The foregoing instrument was acknowledged before me by Kevin Daniel Fabritz and Jacqueline
Margaret Fabritz, on this 1/7>1- day of fUrl ,2007,
~OfficialSeal'
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Commission Expires:
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