HomeMy WebLinkAbout972633CERTIFICATE OF OWNER'S SIGNATURE
COMES NOW, Kevin Bloxham and Nita Bloxham, whose address is 4700 Pevero, Idaho Falls,
Idaho 83401, do hereby make the following statement of facts:
1. That they are the owners of Lot 118 of Alpine Village Subdivision No. 1 Plat 2 Amended
16 F of record in the Office of the Clerk of Lincoln County with Accession No.
957960.
3. That the undersigned has reviewed said plat.
0771
2. That they have an interest in that part of West Reserve Drive lying and being situate within
the land described under the Certificate of Surveyor on the plat titled, "ALPINE VILLAGE
SUBDIVISION NO. 1 PLAT 2 AMENDED 26 FILING IDENTICAL WITH LOTS 114,
115 AND 116 OF ALPINE VILLAGE SUBDIVISION NO. 1 PLAT 2 AMENDED 16
FILING WITHIN THE W' /ZNW' /4 SECTION 19 T37N R118W LINCOLN COUNTY,
WYOMING dated 21 December 2012, as revised and recorded concurrently herewith.
4. That the undersigned has read and understands the provisions of the Certificate of Owner
thereon and the implications thereof.
5. 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 /0 day of Ic 2013.
rn; ;y
STATE O T��[D*IfO
SS.
COUNTY OF BO N IttE
Lim,
Witness my hand and official seal.
Commission Expires: 34 4 Zak
RECEIVED 8/14/2013 at 10:22 AM
RECEIVING 972633
BOOK: 817 PAGE: 771
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
The foregoing instrument was acknowledged before me by Kevin Bloxham and Nita Bloxham
this /go' day of 3 u,4 2013.
W et-d r
KARL F. SCHERBEL NOTARY PUBLIC
County of State of
Lincoln 1 Wyoming
My Commission Expires
Notary Public