HomeMy WebLinkAbout955579COMES NOW, Jon Berman and Amy Berman, husband and wife, whose address is 720
Willowbrooke Road, Boulder, Colorado 80302, do 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 14 FILING
IDENTICAL WITH LOT 90 AND LOT 91 ALPINE VILLAGE NO. 1 PLAT 2
AMENDED 9 FILING WITHIN SW1 /4NE1 /4 NW1 /4SE1 /4 SE1 /4NW1 /4 SECTION 19
T37N R118W LINCOLN COUNTY, WYOMING dated 7 June 2010, 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 S day of 2010.
STATE OF COLORADO
COUNTY OF
The foregoing instrument was acknowledged before
Berman, this O2 day of IZ m b.e X1 2010.
Witness my hand and official seal.
CERTIFICATE OF OWNER'S SIGNATURE
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me by Jon Berman and Amy
Notary Public
RECEIVED 9/17/2010 at 4:44 PM
RECEIVING 955579
BOOK: 753 PAGE: 851
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY