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CERTIFICATE OF OWNER'S SIGNATURE
00\)1896
COMES NOW, Stanley K. Dardis and Sharon A. Dardis, whose address is 9267 Wedgewood
Drive, Woodbury, Minnesota 55125, does hereby make the following statement of facts:
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 2 AMENDED - 12TH FILING
AMENDED IDENTICAL WITH LOTS 96, 97, 98 AND 99 OF ALPINE VILLAGE
SUBDIVISION NO. 1 PLAT 2 AMENDED - 12TH FILING WITHIN W1I2NE1I4
SECTION 19 T37 R118W LINCOLN COUNTY, WYOMING", dated 17 November 2008,
as revised and recorded concurrently herewith.
2. That they have reviewed said plat.
3. That they undersigned have read and understands the provisions of the Certificate of Owner
thereon and the implications thereof.
4. That this certificate is signed in the stead of and has the same effect as if the original Mylar
of said plat had been signed.
:-D,L..
~.DATED this ~ day of ~2008.
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Stanl }C, Dardis
~tZ.~
Sharon A. Dardis
STATE OF MINNESOTA
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) SS.
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COUNTY OF l....h.s"'\~~
The foregoin~nstrurnent was acknowledged before me by Stanley K. Dardis and Sharon
A. Dardis, this '1 day of Dec.<.f'V'~' 2008. "
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WItness my hand and OffiCIal seal. r~;, c. Nolary Public t
, .,' Mmnesola ¡;
. My CommiSSion Expire! Jan 31. ,010 W
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Comnússion ExPires:j~ j 31 20\ 0
RECEIVED 2/6/2009 at 11 :29 AM
RECEIVING # 945125
BOOK: 114 PAGE: 896
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER. WY
SID