HomeMy WebLinkAbout972109When recorded mail to:
NORTHERN TITLE COMPANY
PO Box 856
Thayne, WY 83127
KNOW ALL MEN BY THESE PRESENTS:
Dated this /4 day of
State of PA
County of Or)inom ss:
COMMONWEALTH OF PENNSYLVANIA
NOTARIAL SEAL
KENDRA RUTH CLAY, NOTARY PUBLIC
EAST NORRITON TWP., MONTGOMERY CO.
MY COMMISSION EXPIRES JUNE 30, 2015
AFFIDAVIT OF ACKNOWLEDGMENT
AND ACCEPTANCE OF FINAL PLAT
Sally Ann Pavlick, does hereby depose and say:
1. That I am Salley Ann Pavlick, which owns real property in Lincoln County, Wyoming according to that
Warranty Deed recorded in the Office of the Clerk of Lincoln County, Wyoming in Book 572 Page 357
Document No. 904526
2. That I have examined a copy of the Final Plat of the proposed subdivision titled Lakeview Estates 13
addition to the Town of Alpine, Lincoln County, Wyoming, dated July 30, 2007
3. That I hereby consent to the subdivision as described in the Certificate of Surveyor and Certificate of Owner
found on said Plat;
4. That I hereby consent to the Covenants and Restrictions recorded at Book 53 page 349 and Book 246 page
409
5. That I intend that my signature to and the recording of this Affidavit shall have the same force and effect as
my signature to the Certificate of Owner as contained on said final plat.
2013
Sally Ann Pavl
On the Vnrh day of 2013 personally appeared before me Sally Ann Pavlick the signer of the within
instrument, who duly ackn ledged to me that she executed the same.
PL &C
NotaryyPublic
Commission Expires: 6 -30- ZC/ S
RECEIVED 7/19/2013 at 2:28 PM
RECEIVING 972109
BOOK: 816 PAGE: 96
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
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