Laserfiche WebLink
DocuSign Envelope ID:E02F13C2-EE7D-43AD-B351-5972506AF3D6 <br /> SEM0.14. :•!::!;;-.::'..; rs i � 2:NE11V:`OWNER ACKNO.WLEDGENie Otie i•.e .MT am perbok};: <br /> .;'',: 0 Person usiness 0 Trust 0 Guardian <br /> •• °;4, a Legal Name: Barnett, Margaret for Barnett Farms&NurseryLLC Phone:503-866-9024 <br /> • ? : •Qast,Just,middle). 9 <br /> '�`" s 12814 Arndt Rd. NE • <br /> sa' Mailing Address: <br /> '2iiZ.i <br /> # City: Aurora state:OR ZIP 97002 <br /> `'`'Cr"' Email: mhaener1 @yahoo.com <br /> ::CIU Right of ❑ <br /> ..,r.. Y ❑N� Z`<- Survivorship: Ooaanedbv: <br /> o . <br /> Si nature2G .(ilipv46 Date 10/11/2023 I 12:03 PM <br /> ❑Person eenaossroeeiann... ❑Business ❑Trust ❑Guardian <br /> .;• i Legal Name: <br /> add,first,middle) Phone: <br /> tW'a' Mailing Address: <br /> :`'S" City. State: ZIP: <br /> ��' 'p' Email: <br /> :Ii W 3:?' Right of ❑Yes ❑ <br /> ,;Zi> Survivorship: _ No <br /> Signature: <br /> • Date: <br /> • <br /> ❑Prson ❑Business 0 must ❑Guardian <br /> !�` e <br /> '•` Legal Name: <br /> ice . <br /> (last,Jlrst,middle) Phone: <br /> iiLI Mailing Address: <br /> • ` r City: State: ZIP- <br /> Email: <br /> `Y01,: Right of <br /> ❑Yes ❑No <br /> -ys��<`� Survivorship: <br /> "'•': Signature: Date: <br /> Person <br /> ❑ Business <br /> ❑ Trust <br /> Guardian <br /> Legal Name: <br /> g <br /> (last,first,middle) <br /> Phone. <br /> i.`Ui Mailing Address: . <br /> ICCity State: ZIP: <br /> Email: : <br /> :i:jati s Right of <br /> ' •:Z3:. Survivorship: ❑Yes ❑No <br /> Signature: Date: <br /> • <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 />