Tract X Dedication, AFN 20200102000849Instrument Number: 20200102000849 Document:WD Rec: $107.50 Page -
Record Date:1/2/2020 2:09 PM
King County, WA
.,20200102000849
D
+! WARRANTY DEED Rec: $107.60
1/2/2020 2:09 PM
FIRSTAMERICAN l �- { `�J I':KING COUNTY_ wa
Return Address: 0- 5T I E 3 028 644
I, EXCISE TAX AFFIDAVITS
112/2020 2:09 PM KING COUNTY, WA
City of Federal Way Tax Amount:$10.00
Attn: Kevin Peterson, Public Works Department
33325 8th Avenue South I I
Federal Way, WA 98003-6325
STATUTORY WARRANTY DEED
Grantor (s): VILLAGE GREEN OF FEDERAL WAY, A RETIREMENT COMMUNITY,
LLC, a Washington limited liability company
Grantee (s): CITY OF FEDERAL WAY, a Washington municipal corporation
Property Legal Description (abbreviated): A portion of Lot 11-C, City of Federal Way BLA
# 11-103696-00-SU Vftff
Assessor's Tax Parcel ID#(s): 302104-9024
THE GRANTOR(S) VILLAGE GREEN OF FEDERAL WAY, A RETIREMENT
COMMUNITY, LLC, a Washington limited liability company, for and in consideration of
The City of Federal Way's approval of land use application No. 18-105293-00-UP for
construction of a senior housing facility and other good and valuable consideration, convey(s)
and warrant(s) to the CITY OF FEDERAL WAY, a Washington municipal corporation, all of
its right, title and interest, and any after -acquired interest therein, in and to the real property
described in Exhibit A and depicted in Exhibit A-1 herewith attached and madea part hereof,
situated in King County in the State of Washington.
2n DATED THIS .. day of 4- , 2p 7
[signature pages to follow]
RECQr"-" REQuEsTED I3Y
FIRST A' ti'•I TITLE COMPANY
..... ODAT014 CNLY
Instrument Number: 20200102000849 Document:WD Rec: $107.50 Page-2
Record Date:1/2/2020 2:09 PM King County, WA
GRANTOR(S):
,A��-99-
Monte B. Powell, Manager
Village Green of Federal Way, a Retirement Community, LLC
STATE OF WASHINGTON )
COUNTY OF k' C ss.
On this day personally appeared before me Monte B. PowelI, to me known to be the Manager
of Village Green of Federal Way, a Retirement Community, LLC that executed the foregoing
instrument, and acknowledged the said instrument to be the free and voluntary act and deed of
said limited Iiability company, for the uses and purposes therein mentioned, and on oath
stated that he was authorized to execute said instrument.
GIVEN my hand and official seal this day of �`�� , 201
M
RYCTONril 23, 2020
_ cjtitSAn r
(typed/printed name of notary
Notary Public in and for the State of Washington.
My commission expires LIIz5 /7,0
Instrument Number: 20200102000849 Document:WD Rec: $107.50 Page-3
Record Date:1/2/2020 2:09 PM King County, WA
G�RANTOR(S):
Diane E. Powell, Manager
Village Green of Federal Way, a Retirement Community, LLC
STATE OF WASHINGTON )
) 5S.
COUNTY OF `N
On this day personally appeared before me Diane E. Powell, to me known to be the Manager
of Village Green of Federal Way, a Retirement Community, LLC that executed the foregoing
instrument, and acknowledged the said instrument to be the free and voluntary act and deed of
said limited liability company, for the uses and purposes therein mentioned, and on oath
stated that he was authorized to execute said instrument.
GIVEN my hand and official seal this �W day of 2017
M
RYCTON (typed/printed name of notary)
ril 23. 2020 Notary Public in and for the State of ashington.
My commission expires
Rev. 10/17
Instrument Number: 20200102000849 Document:WD Rec: $107.50 Page-4
Record Date:1/2/2020 2:09 PM King County, WA
RIGHT OF WAY DEDICATION
THE EAST 15 FEET OF LOT 11-C, CITY OF FEDERAL WAY BOUNDARY LINE ADJUSTMENT
NO. 11-103696-00-SU, RECORDED UNDER ICING COUNTY RECORDING NO. 20111102900001,
LYING NORTH OF THE SOUTH 9 8.61 FEET;
TOGETHER WITH THE EAST 3 FEET OF THE SOUTH 98.61 FEET OF SAID LOT 11-C,
SITUATE IN THE COUNTY OF KING, STATE OF WASHINGTON,
CONTAINING 10,425 SQUARE FEET, MORE OR LESS.
i
l;
Instrument Number: 20200102000849 Document:WD Rec: $107.50 Page-5
Record Date:1/2/2020 2:09 PM King County, WA
EXHIBIT A-1
TO DEDICATION
4ro
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1"l A I"1rA1T fl A fl/1 f"'1
I NE COR SEC 30
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GRAPHIC SCALE
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6 75' 150'
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(IN PERT)
1 inch =150' 8.
30'
EX RIGHT-OF-WAY
42' EX RIGHT--OF-WAY
' f '
MON IN CASE
SW 356TH ST