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Return Address:
City Clerk’s Office
City of Renton
1055 South Grady Way
Renton, WA 98057
DEED OF DEDICATION Property Tax Parcel Number:
Project File #: Street Intersection:
Reference Number(s) of Documents assigned or released: Additional reference numbers are on page _____.
Grantor(s): Grantee:
1.
2.
City of Renton, a Washington Municipal Corporation
LEGAL DESCRIPTION: (Abbreviated or full legal must go here. Additional legal on page_______)
The Grantor, _________________________, for and in consideration of mutual benefits conveys, quit claims,
and dedicates to the Grantee, the City of Renton, the above described real estate situated in the County of
King, State of Washington.
IN WITNESS WHEREOF, I have hereunto set my hand and seal the day and year as written below.
Grantor(s):
Dated:
INDIVIDUAL FORM OF ACKNOWLEDGMENT
STATE OF WASHINGTON ) SS
COUNTY OF KING ) I certify that I know or have satisfactory evidence that ______________________
Notary Seal must be within box ________________________________________ signed this instrument and
acknowledged it to be his/her/their free and voluntary act for the uses and
purposes mentioned in the instrument.
Notary Public in and for the State of Washington
Notary (Print)_____________________________________
My appointment expires:____________________________
Dated:
/DEEDofDEDICATION.doc\ SMT Page 2 of 4 FORM 04 0001/bh
REPRESENTATIVE FORM OF ACKNOWLEDGMENT
STATE OF WASHINGTON ) SS
COUNTY OF KING ) I certify that I know or have satisfactory evidence that ______________________
Notary Seal must be within box ________________________________________ signed this instrument and
acknowledged it to be his/her/their free and voluntary act for the uses and
purposes mentioned in the instrument.
Notary Public in and for the State of Washington
Notary (Print)_____________________________________
My appointment expires:____________________________
Dated:
CORPORTATE FORM OF ACKNOWLEDGMENT
STATE OF WASHINGTON ) SS
COUNTY OF KING ) I certify that I know or have satisfactory evidence that ______________________
Notary Seal must be within box ________________________________________ signed this instrument and
acknowledged it to be his/her/their free and voluntary act for the uses and
purposes mentioned in the instrument.
Notary Public in and for the State of Washington
Notary (Print)_____________________________________
My appointment expires:____________________________
Dated:
Accepted by the City of Renton:
By: ________________________________
Mayor
Attest:
By: ______________________________
City Clerk
EXHIBIT___
RIGHT-OF-WAY DEDICATION
LEGAL DESCRIPTION
THAT PORTION OF LOT 5, BLOCK 1 OF CEDAR PARK FIVE ACRE TRACTS, AS PER PLAT RECORDED IN
VOLUME 15 OF PLATS, PAGE 91, RECORDS OF KING COUNTY, WASHINGTON, EXCEPT THE WEST 358.51
FEET THEREOF MEASURED ALONG THE NORTH BOUNDARY OF SAID LOT 5, AND EXCEPT THE EAST
118.76 FEET OF THE NORTH 143.71 FEET OF SAID LOT 5, AND EXCEPT THE NORTH 30 FEET THEREOF,
DESCRIBED AS FOLLOWS:
COMMENCING AT THE NORTHEAST CORNER OF SAID LOT 5;
THENCE SOUTH 01°11’50” WEST ALONG THE EAST LINE THEREOF 264.74 FEET TO THE POINT OF
BEGINNING;
THENCE CONTINUING SOUTH 01°11’50” WEST ALONG THE EAST LINE THEREOF 61.42 FEET TO THE
SOUTHEAST CORNER OF SAID LOT 5;
THENCE NORTH 87°39’02” WEST ALONG THE SOUTH LINE OF SAID LOT 5 A DISTANCE OF 8.28 FEET TO A
POINT THAT BEARS SOUTH 06°31’40” WEST FROM THE POINT OF BEGINNING;
THENCE NORTH 06°31’40” EAST 61.47 FEET TO THE POINT OF BEGINNING;
SITUATE IN THE CITY OF RENTON, COUNTY OF KING AND STATE OF WASHINGTON.
(BEING AN AREA OF 254 SQUARE FEET).