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606430
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606430
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Last modified
3/1/2023 10:00:08 PM
Creation date
2/27/2023 9:36:20 AM
Metadata
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Template:
Assessor
Account Number
606430
Assessor Doc Type
Trip Permit
Secondary Assessor Doc Type
Jacket
MTL
105E01BC08500
Assessor Section
Manufactured Structures
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DocuSign Envelope ID:34AFA71E-7B98-42B7-9C2D-E51055EF1ElF <br /> DocuSign Envelope ID:522CCBC8-9FDE4398-99A8.9C7175D657D4 <br /> :SECOON:6` ': ::�;: ; < : : .;NE17itiQWNER:EgCKNOWLED. � :.• .. G1i:MEN'f::(On�natneper:6oX);;.:::::. •.: :. <br /> ©Person ❑Business 0- ' <br /> -•• • Trust 0 Guardian <br /> •: : Legal Name:CrISt B <br /> (last first,middle) , Brian C. :503-35$-3526 <br /> ?bG= f Phone <br /> -!'W:•, Mailing Address:2732 Enchanted View Lane SE <br /> J ;` city:Turner R - <br /> ,•ip.�' C State:OR ZIP:97392 <br /> Email:bccrist23@gmall.cOm ' <br /> •u:;: Right of �( <br /> :.:Z.::: Survivorship: yes 0 No <br /> uawSiyiLLu uy; <br /> Signature: rDate3/29/2023 I 8:19 AM Ms <br /> :,; d Pe 0UF8a44GE8ll 4c2... i]Business.., f Legal ❑Trust ❑Guardian <br /> `` '" asr, gt Nadi Grist, Jamilyn K. <br /> p�:;: (i 11r middleI Phone:503.358-3526 <br /> 'W=' MailingAddress:2732 Enchanted View Lane SE <br /> • City:Turner:;.0 ' I State:OR I ZIP:97392 <br /> Email:bccrist23@gmail.com <br /> a Right of ��{{ <br /> `•• ':: Survivorship: P�iyes 0 No <br /> 6y. <br /> :: Signature: LF—rd4.4 I Date:1/29/2023 I 8:21 AM l <br /> Person s44cEs4o4cz.. 0Business <br /> Legal <br /> Name: 0 Trust 0 Guardian <br /> erli•': g ) Grist, Robert J. <br /> •:.ce:: _ (last,first,middleI Phone: 503-779-9852 <br /> iW i Mailing Address: 1224 24th St. NE <br /> '. City: Salem state: OR ZIP: <br /> ':0:: I 97301 <br /> Email: ORDECABodie@gmail.com <br /> •w' Right of 'Ivry� No <br /> :2..• Survivorship: <br /> fuocualgaud•by. <br /> Signature: I Date: 2/1/2023 12:4 PM PS <br /> XPe ec 7e4Ecl07U488 ❑Business <br /> 0 Trust 0 Guardian <br /> :4 i:• Legal Name: Grist, Easton C. <br /> :ce: (last,_first,middle) I Phone: 503-319-9370 <br /> •`W'.•• Mailing Address: 2732 Enchanted View Lane SE <br /> ::. :: City: Turner state: zIP: <br /> I!! OR 97392 <br /> • <br /> _. Email: eastoncrist ai�gmail.com <br /> •••'W': . Rightof <br /> ::Z:. Survivorship: yes ❑No <br /> uucumynaa oy. <br /> Signature: r <br /> f4Ablt, C (yt ! Date: 2/1/2023 I 11:38 PM hi! <br /> "Ik1GKNOWLEDGEMENT OF SALE/CHANGE OF OWNERSHIP <br /> I affirm that the information provided herein accurately reflects the ownership of the structure at the completion of the sale or change <br /> of ownership.I understand that the home cannot be relocated without first completing this application and purchasing a trip permit <br /> from the Building Codes Division or through one of its county agents. <br /> I understand that the seller/owner is responsible for submitting this application within 30 days after the close of the sale,and that all <br /> buyers and sellers will be notified by mall when the application is approved.If the application has not been submitted after 30 days,I <br /> may complete the filing under ORS 446.64(1). <br /> I understand that each lessor,mortgagee,trust-deed beneficiary,lien holder of record,and security interest holder must be listed on <br /> this notice.If none are listed,the structure must be free and clear of all mortgages,deeds of trust,security interests,and liens. <br /> Page 3 <br />
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