21-104579-Recorded ADU Covenant-10.10.22ttkase taant to
C-an—my Devaimosom i 4wr-crt
33'rZ 3tk A,viaie San*
Femitaal tp@W WA "M
CITY OF FEDERAL, WAY
aCCESSORI' DWELLING UNIT
LETTER OF _APPLICATION & DEED RESTRICTION
L *" ^ - , being first duly sworn, on oath do hereby certify under penalty of
[ve yw% made die Laws of the State of Washington;
Tba I'm am are outs of the single-family dwellutg unit located at: 3 4 319 3 5 TH AVE. S *ederal Way,
1sanragtoa pared x 308r9 00 W 88 --
MEMOA
M 0,151.•.
Tbas 1 hose tattle application and received City of Federal Wayland use approval for an accessory dwelling unit
a[ din kxNewn.
That 1 pttaestly occupy and m-ti conunue to occupy one of the two dwelling units at this location as my
ptmeipal said perau=m residence for six months or more of the calendar year.
That thiA cemfication u ill remain in effect during the period of my ownership of the property unless I record a
"mfication with the King County Office of Records and Elections that the use of the property for an accessory
dw Iling unit has been discontinued.
—�� Signature of Applicant
Stan of Washing ri )
caunly of PIERCE)
On this day pencmally appeared before me DAN IEL MAGANA to me known to be the
tndrvWuai described in and who executed the within and foregoing instrument, and acknowledge that he/she signed
as hts%er free and voluntary act end deed, for the uses and purposes therein mentioned.
,under my hand and official seal on this day of .4r.'tgb 2021
ap
ryY a�i
Notary's !tgnature `�
01 �-
r
jrr�
y 1. Nouery's printed name IS_MAEL DELGA O
/fee+`tij'.o� 1� Notary public in and for the State of Washington.
.'
,e11 My commission expires__— _.
Faltely certifying owner Occupancy !f subjec t to a civil penalty of $5,000, In addlilon to any criminal prrialhes
Illl�i I Ills II I I IlIIII ilk IIII IIII IlIII 9�I II�IIiI 111 l� III
Return Address: 20220921000171
� 4 �t ACCESSORY DWELLING CERTIFICATE flee, $204.50
t V A 9/21/2022 9-06 AM
9 KING COUNTY. WA
19 L)
Please print or type information WASHINGTON STATE RECORDER'S Cover Sheet (RCw bs.o4)
Document Title(s) (or transactions contained therein): (all areas applicable to your document must be filled in)
3. 1 4.
Reference Number(s) of Documents assigned or released:
Additional reference Ws on page of document
Grantor(s) Exactly as name(s) appear on document
I. DLAN (LeN Z4i&N 6
2. I -A TCINCQ Z tAANQ
Additional names on page of document.
Grantee(s) Exactly as name(s) appear on document
2. jN 1 V 67 G L I C. k f "t l pt
Additional names on page ofdocument.
Legal description (abbreviated: i.e. lot, block, plat or section, township, range)
L3-_#- 13-L0 -U tint e Rage SE-23-2f-3
1
Additional legal is on page of document.
Assessor's Property Tax Parcel/Account Number ❑ Assessor Tax # not yet
assigned 04
- o
The Auditor/Recorder will rely on the information provided on this form. The staff will not read the document
to verily the accuracy or completeness of the indexing information provided herein.
11 am signing below and paying an additional $50 recording fee (as provided in RCW 36.18.010 and
referred to as an emergency nonstandard document), because this document does not meet margin and
formatting requirements. Furthermore, I hereby understand that the recording process may cover up or
otherwise obscure some part of the text of the original document as a result of this request."
`4 Signature of Requesting Party
!Vote to submitter: Do not sign above nor pay additional S50 fee if the document meets margin1for-alling requirements