HomeMy WebLinkAbout9508422. That they have reviewed said plat.
Norman C. Larsen Living Trust
Norman C. Larsen, Trustee
STATE OF ARIZONA
COUNTY OF /%fir Cq,A
CERTIFICATE OF OWNER'S SIGNATURE
O 31®
COMES NOW, Norman C. Larsen and Suzanne W. Larsen, Trustees of the Norman C. Larsen
Living Trust dated 7 October 1998, whose address is P.O. Box 3050, Alpine, WY 83128, do
hereby make the following statement of facts:
1. That they are the owners of the land described under the Certificate of Surveyor on the plat
titled, "PAYNE SUBDIVISION LOT 16 OF ALPINE VILLAGE NO. 1 PLAT 1
AMENDED 2ND FILING IDENTICAL WITH LOT (2) -16 AND LOT (5) -16 PAYNE
SUBDIVISION LOT 16 OF ALPINE VILLAGE SUBDIVISION NO. 1 PLAT 1
AMENDED WITHIN SECTION 18 T37N R118W LINCOLN COUNTY, WYOMING
dated 10 September 2009, as revised and recorded concurrently herewith.
3. That they have read and understand 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.
DATED this 2, 3 day of
The foregoing instrument was acknowledged before me by Norman C. Larsen and
Suzanne W. Larsen, this 23 day of A/M) 2009.
Witness f L F n d oftilattsLAMITH
Notary Public Arizona
MARICOPA COUNTY
My Commission Expires
GUST 31, 2010
Commission Expires:
SS.
2009.
Suz. e W. Larsen, Trustee
RECEIVED 12/2/2009 at 10:09 AM
RECEIVING 950842
BOOK: 737 PAGE: 310
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
S/D Payne Subdivision