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210 4TH AVE N
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NAME OF AMMON .......
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Dye Tested On Sewer 1972
Approved:
DATE---------------------------------------------- - BY
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David E. Haan Residence: 425 771-5946
822 Laurel Way Voice Mail: 425 776-4625
Edmonds WA 98020-3905 Fax: 425 776-4625
April 7, 1999
City of Edmonds
121 5t'Avenue North
Edmonds WA 98020
Subject: Request for Name Change on Property Ownership Records
Reference: Property at 210 4h Avenue North, Edmonds WA 98020
Anna C. Borisoff, former owner of the referenced property, is deceased. The property
was inherited by her daughter and heir, Natalie A. Haan. Appropriate documents have
been filed to this effect at the Snohomish County Court House.
Please enter the following name change on your property ownership records:
FROM:
4344-002-011-0000
Borisoff, Anna C.
822 Laurel Way
Edmonds WA 98020
Sincerely,
-'I" E. 17
TO:
4344-002-011-0000
Haan, Natalie A.
822 Laurel Way
Edmonds WA 98020-3905
David E. Haan, Personal Representative for the Estate of Anna C. Borisoff
DEH:dh