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. <br /> SE TION!I 6 '' "_' .t. , .,, <br /> NEW OWNER ACKNOWLEDGEMENT:{One name`perboxJ:; ' -" ; <br /> 6J ❑Person 0Business ElTrust ❑Guardian <br /> AI <br /> �` Legal Name: <br /> �-4, (last,first,middle)CPI SUNDIAL OWNERS LLC Phone:503-244-2300_.. <br /> Y4141 M,imAailing Address: SW BOONES FERRY ROAD <br /> tlIN City:PORTLAND State:OR ZIP:97224 <br /> - �-; • <br /> Email: <br /> N,? Right of <br /> 1' - Survivorship: ❑Yes ❑No <br /> Signature: (�d�___.�_ Date: y'_-7_Z3. <br /> -, ❑Person ❑Business ❑Trust ❑Guardian <br /> Legal Name: <br /> ;I«�` (last,first,middle) Phone: <br /> :`a�F Mailing Address:. <br /> ` . City: State: ZIP: - <br /> �, Email: <br /> Right of <br /> t g ❑Yes ❑No <br /> ' Survivorship: <br /> • ?.: 14 .' Signature: Date: • <br /> m= ri• ❑Person CI Business ❑Trust 0 Guardian <br /> 1 Legal Name: <br /> ittr,f11 (last first,middle) Phone: <br /> • < % <br /> - _ Mailing Address: <br /> 3" N. City: State: ZIP: <br /> Email: <br /> Right of <br /> �' ❑Yes ❑No <br /> .:11:1,: Survivorship: <br /> ; ; Signature: Date: <br /> a"ae,,=:.1= <br /> 1 ` . CI Person CI Business ❑Trust ❑Guardian <br /> r"a pia <br /> u-* Legal Name: Phone: <br /> f • f (last,first,middle) <br /> ,tS;4. r12x a _I Mailing Address: <br /> -. City: State: ZIP: <br /> g§', Email: <br /> ,,, W : Right of <br /> ``Z ' Survivorship: ❑Yes CI No <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 />