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606430 (2)
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606430 (2)
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Last modified
6/9/2023 7:47:21 AM
Creation date
6/9/2023 7:47:20 AM
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Assessor
Account Number
606430
Assessor Doc Type
Trip Permit
Doc Type Date
6/2/2023
MTL
105E01BC08500
Assessor Section
Manufactured Structures
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r <br /> DocuSlgn Envelope ID:34AFA71 E-7898-42B7-9C2D-E61066EF1 El F <br /> • <br /> DoouSign Envelope ID:622CCB08-9FDE.439a-99AB•9C71760667D4 <br /> :SEGivIk11 ;;: 1: .:;; ........?,:, •;N.W.iOWNEIt4CK.GWLEDG> MENT.:(Onename.Ver:bex)%;;;::. <br /> ©Person 0 Business 0 Trust 0., <br /> :.� ; Guardian <br /> Legal Name:CriSt Brian C, <br /> ;t% (last,.4lrsi mIddlel Phone;503-35$-3526 <br /> '1W1. Mailing Address:2732 Enchanted View Lane SE <br /> city:Turner State:.' <br /> :'' OR ZIP:97392 <br /> :••®': Email:bccrist23@gmall,com <br /> `'� i Right of - <br /> ':Z Survivorship: )Yes ❑No <br /> r--Tocuaryucu by; <br /> Signature: <br /> -i " Date1/29/2023 I 8:19 AM M: <br /> .;r•:;,:irc d persbirt70P80440E81o°oz,.. I]Business El Trust 0 Guardian <br /> Sy rLegal Name:Crist, Jamilyn e::: past,first,middle) K• I Phone:rjQ$_$58_3526 <br /> •w:: Mailing Address:2732 Enchanted View Lane SE <br /> :.q. city;Turner I state:OR I ZIP:97392 <br /> 'i'�,' Email:bocrlst23@gmall.com <br /> Right of X No <br /> `I,' Survivorship: Yes <br /> Signature: - (4 Date;1/29/2023 •I B:21 AM tt <br /> Person DaFao410E81C°c2-. El Business ❑Trust <br /> ;:: 0 Guardian. <br /> ,tom•„ Legal Name: <br /> :!;OC:;':r'• (lasl,,tAst,middle) Crlst, Robert J. I Phone: 503-779-9852 <br /> ,14 i Mailing Address: 1224 24th St. NE <br /> �: city: Salem OR <br /> State ZIP: 97301. <br /> i <br /> Email: ORDECABodie@gmall,com <br /> Right of Ryes ❑No <br /> •Z;: . Survivorship: �' • <br /> r'•uouus,„nuv by, <br /> Signature: ,/� 1 <br /> f'`l)� I Date: 2/1/2023 12i:40 PM PS <br /> pe eneCA7o4EC1 70488.. <br /> ❑Business I]Trust 0 Guardian <br /> :: ; Legal Name: Crist, Easton C. <br /> � ; (last,fist,middle) Phone: 503-319-9370 <br /> Z Mailing Address: 2732 Enchanted View Lane SE <br /> 'i: i city: Turner state: OR <br /> ::•pi;: ZIP: 97392 <br /> ::..a.,.... Email: eastoncristt@gmail,com <br /> Right of <br /> Z•, Survivorship: '''Yes Ne <br /> �—•uoaumyttw uy. <br /> Signature: flIStolti r r,_c Date: 2/1/2023 111:38 PM M! <br /> AEIMt39INER A 3KNOWLEDGEMENT OF SALE/CHANGE OF OWNERSHIP <br /> I affirm that the information provided herein aeourately 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 946.64(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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