Release of Lien LOT 11WHEN RECORDED RETURN TO:
City of Yelm
P.O. Box 479
105 Yelm Avenue West
Yelm, WA 98597
RELEASE OF INTEREST ON OPEN SPACE FEE IN LIEU OF
Grantor
JCH Development
Grantee
City of Yelm
Legal Description
Lot 5 of Mill Circle Estates
Assessor’s Tax Parcel No.
623100000500
Reference Numbers of Related Documents
#3151863 - Declaration of Lien
THE GRANTOR, JCH Development, hereby releases interest in the Open Space Fee In Lieu Of assessment for Lot 05 of Mill Circle Estates, in the amount of $549.38, pursuant to the Declaration
of Liens recorded with Thurston County Auditor’s Office File #3151863.
Upon signature of this document by all parties below and recording with Thurston County Auditor’s Office, the above reference Lien is hereby released.
IN WITNESS WHEREOF, this instrument has been executed this Day of , .
DEVELOPER DEVELOPER
CITY OF YELM
STATE OF WASHINGTON )
)ss
COUNTY OF THURSTON )
On this Day of , , before me personally appeared
To me known to be the Of the corporation that executed the within and foregoing instrument,
and acknowledged said instrument to be the fee and voluntary act and deed of said corporation, for the use and purposes therein mentioned, and on oath stated that he/she is authorized
to execute said instrument.
IN WITNESS WHEREOF I have hereunto set my hand and affixed my official seal and year first above written:
Signature:_________________________________________
Print Name:
NOTARY PUBLIC in and for the State of Washington
Residing at
Commission expires:
STATE OF WASHINGTON )
)ss
COUNTY OF THURSTON )
On this Day of , , before me personally appeared
To me known to be the Of the City of Yelm that executed the within and foregoing instrument,
and acknowledged said instrument to be the fee and voluntary act and deed of said corporation, for the use and purposes therein mentioned, and on oath stated that he/she is authorized
to execute said instrument.
IN WITNESS WHEREOF I have hereunto set my hand and affixed my official seal and year first above written:
Signature:_________________________________________
Print Name:
NOTARY PUBLIC in and for the State of Washington
Residing at
Commission expires: