Laserfiche WebLink
.0010N 6 m, „ ' .5 NEW;AW14E R ACKNOWL EwDG Ei VE,NT=(Qne name perboa : '' <br /> (txc �.. ID Person 0Business ❑Trust <br /> El Guardian <br /> .4;,; "k Legal Name: <br /> 4, (last,first,middle)CPI SUNDIAL OWNERS LLC Phone:503-244-2300 <br /> i4 Mailing Address:18150 SW BOONES FERRY ROAD <br /> r <br /> A!- City:PORTLAND State:OR ZIP:97224 <br /> 410 <br /> t ` ., Email: <br /> gat <br /> <x Right of <br /> " Survivorship: ❑Yes ❑No <br /> _ �: Signature: �,'l/-`�. Date: ?--7_2 <br /> 2 <br /> $j El <br /> tie _. <br /> Person ❑Business ElTrust ❑Guardian <br /> '4,,l Legal Name: Phone: <br /> q (last,first, middle) <br /> :111 1 Mailing Address: <br /> A <br /> , City: State: ZIP: <br /> 4 `kc Email: <br /> itx'' Right of ❑Yes ❑No <br /> ;�t Survivorship: <br /> Ct';'` Signature: Date: <br /> a <br /> • <br /> a ❑Person ❑Business ❑Trust El Guardian <br /> is a <br /> Legal Name: <br /> #Mq'� <br /> >c4" " `' (last,first,middle) Phone: <br /> f`_ �' Mailing Address: <br /> } kt City: State: ZIP: <br /> W3< <br /> xi„,, <br /> Email: <br /> 11 t-= Right of <br /> ❑Yes El No <br /> r tt' Survivorship: <br /> VP�' <br /> K.. L; Signature: Date: <br /> El Person ❑Business ❑Trust El Guardian <br /> 10t. <br /> i i Legal Name: Phone: <br /> { (last,first,middle) <br /> t I ' <br /> y Mailing Address: <br /> 3 City: State: ZIP: <br /> ';0 e <br /> P " Email: <br /> , ° <br /> Right of <br /> ❑Yes ❑No <br /> ` Survivorship: <br /> r �. i <br /> Signature: Date: <br /> NEW OWNER ACKNOWLEDGEMENT 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 mail 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 /> i <br />