HomeMy WebLinkAbout950844COMES NOW, Norman C. Larsen and Suzanne W. Larsen, Trustees of the Norman C. Larsen
Living Trust dated 7 October 1998 and Suzanne W. Larsen and Norman C. Larsen, Trustees of
the Suzanne W. 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, "ALPINE VILLAGE SUBDIVISION NO. 1 PLAT 1 AMENDED 2ND FILING
IDENTICAL WITH LOT 17 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.
2. That they have reviewed said plat.
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 23 day of
Norman C. Larsen Living Trus
Suze W. Larsen, Trustee
Norman C. Larsen, Trustee
Suzanne W. Larsen Living Trust
Suz ie W. Larsen, Trustee
STATE OF ARIZONA
SS.
COUNTY OF
The foregoing instrument was acknowled ed before me by Norman C. Larsen and
Suzanne W. Larsen, this �j day of No 2009.
Witness
Commission Expires:
CERTIFICATE OF OWNER'S SIGNATURE
ROqL L. SMITH
'KIWI Arizona
MARICOPA COUNTY
My Commission Expires
AUGUST 31, 2010
3 /-2o/ c)
Norman C. Larsen, Trustee
RECEIVED 12/2/2009 at 10:26 AM
RECEIVING 950844
BOOK: 737 PAGE: 311
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
00 311
Notary Public
S/D AV No. 1 Plat 1 Amended 2n Filing