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Return Address:
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G,� v� �'����� 20100913000646
Id�� S��A�41>�� GJ�Y CITY OF RENTON COV 113.00
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� KING COUNTY, WQ
Please print or type information WASfIIlVGTON STATE RECORDER'S Cover Sheet (RCW 65.04)
DOCumeIIt TItIe�S�(or transac#ions contained therein):(all areas applicable to yow document must be filled in) �
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3. 4.
Reference Number(s) of Documents assigned or released:
Additional reference#'s on page of document
Gi'antOP(S) Exactly as name(s)appear on document
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Additional names on page of document.
Grantee(s) Exactly as name(s)appear on document �
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Additional names on page of document. �
Legal description(abbreviated: i.e.lot,block,plat or section,township,range)
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Additional legal is on page of docunent.
Assessor's Property Tag ParaeUAccount Number ❑Assessor Tu�#not yet
assigned ������ `�p 0
The Auditor/Recorder will rely on the information provided on this form. The staff will not read the document �
to veri the accurac or com leteness of the indexin information rovided herein.
"I am signing below and pa ing an additional$50 recording fee(as provided in RCW 36.18.010 and
referred to as a'n�ne ergenc nonstandard document),because this document does not meet margin and
formatting r,equir�ment ' urthermore,I hereby understand that the recording process may cover up or �
otherwise scur so .�part of the text of the original document as a result of this request."
Signature of Requesting Party
Note to submi�er:Do not sign above nor pay additional$50 fee if the document meets margin/formatting requirements I
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Return Address:
City Clerk's Office •
City of Renton
1055 South Grady Way -
Renton, WA 98057
Covenant to Annex Property Tax Parcel Number: 9353301000
Reference Number(s)of Documents assigned or released:Additional reference numbers are on page.
, Grantor(s): Grantee(s):
1. Dawn Schram 1. City of Renton, a Municipa) Corperation
LEGAL DESCRIPTION:
Lot 8,Blk 4,White Fence Ranch Assessors Plat Val of Undeeded STS&Alle s are Incl in Val of Ad'Lots Less Co Rd. I�I
The Grantor,as named above,referred to as"owner(s),their successors,heirs and assigns"covenant and agree to sign the
necessary petitions for annexation to the City Limits of the City of Renton,Washington for the above-described property
1. Basis for Covenant This covenant to annex is given as a condition to being permitted to hook up to sewer and/or water �I
service from the City of Renton to serve the premises.
2. Parties Bound This agreement and the covenant to annex shall be binding on the owner and all persons subsequently
acquiring any right,title or interest in or to said property referred to as the premises,and shall be a covenant running
with the land.
3. Time for Performance The owners,their heirs,successors or assigns,agree and covenant to sign a petition to annex the I�!
above-described premises unto the City of Renton at such time as the assessed valuation of the subject premises is li
sufficient to qualify under the 60%method pursuant to RCW 35A.14.120,together with such other adjoining or '
contiguous are as the City of other petitioners may determine. The owners further agree,when so notified by the City, �
to promptly circulate and execute such Petition and to comply with all the requirements of law regarding such
annexation. If the owners,their successors or assigns fail to do so,the city reserves the right to terminate such utility
services.
4. Filin� These covenants shall be filed with the King County Auditor. '
IN WITNESS WHEREOF,I have hereunto set my hand and seal the day and year as written below.
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INDIVIDUAL FORM OFACKNOWLEDGMENT
Notary Seal must be within box STATE OF WASHINGTON )SS I
`\`\���\\\�\11���,' COUNTY OF KING ) I
�� ,��1Y A• S�+�//�' I certify that I know or have satisfactory evidence that
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_ Q';�,�gs��K�+iy Q �/ ��i�� 1-• S C k Q�/14 , signed this instrument and
�0 i a� �,pTAR�. ���;� � acknowledged-it to be his/her/their free and voluntary act for the uses and purposes
� v .. . .,i y. � mention in the instrument.
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'�,��` �''���,�����..•��`'�� � Notary Public in an for the Sta e f�/Vashington
� -. OF WAS�;�.���` Notary(Print) J� b /Lv 7- �F y � ��ll u ��
- ��������� My appointment expires: jf�f o�1//�
Dated: �' ��{ a —Qd 'i
H:\File Sys\WWP-WasteWater\WWP-21-0000 Sewer Availability\Covenants to Annex\covnt Page 1 9/2000 PWA0002/bh
annex 12206 155th Ave SE.doc