|
/,; //r ` r,, ,,rA, , r , / jf /
<br /> III
<br /> lee
<br /> /ee
<br /> / i r; / ;/ cr ', l u7 � , .". l ' r r is r
<br /> / // GN `Tt/ . F
<br /> i i . is/„ r r r ,� /, S ; ,r✓ir r / , r
<br /> ,. / ., ,,, / r / rc
<br /> /� / .. / � /l / .. . //// / /// / . , .
<br /> � , /,i,. c, ; a„ �z ,,, ; �/i/ci,/o .!, ,; <,✓/i ,i /„ /�/i/r�/�LiigrG;/, .:, !c,. ,,, , , //r ,a, /, ., �� , ,, :, %%r,,, ,, Gs/,� , �r,//„ Vis;-, .
<br /> y
<br /> rri : i r
<br /> / eleell
<br /> fli�C Yr37N1� PR / ” 114r r
<br /> / l=�l E AUTtI �ED Afi�rE AY1 .
<br /> , �; , � , 7; �dN i� PLOD
<br /> r / r ATI4N
<br /> ,rI 1W. „< , r, r / . , , . . L . . , r r L . /// .. /„r / _ / r 7r/ /,., /.: r. r . / r/r. / / i;, ,.,. _ . :,. r , , ;
<br /> SIGNATURE:
<br /> I certify under penalty of perjury that I am (check one) :
<br /> O Legal property owner (owner includes partner, trustee, trustor, or corporate officer) of the property(s)
<br /> involved in this application, or
<br /> X Legal agent (attach proof of the owner's consent to the application of the property's involved in this
<br /> application and have been authorized to file on their behalf
<br /> and that the foregoing application statements are true and correct.
<br /> Signature: Date: 3/4/20
<br /> Signature: _ Date:
<br /> Signature: Date:
<br /> Signature: Date:
<br /> Signature: Date:
<br /> F: Mountain House/MH Application Forms/MH-Plan Title Amnd Form-MASTER
<br /> -6-
<br />
|