REVIEWED BLD2024-0473 Owner Liability & Landslide Acknowledgement (1)APPLICANVOWNER LIABILITY & LANDSLIDE ACKNOWLEDGEMENT
Subject: Taylor/Pittman Foundation Repair
This statement confirms that the accuracy of all permit submittal information warranted by the applicant/owner
Jeffrey Taylor and Jeffrey Pittman in a form which relieved the City and its staff from any liability associated with
reliance on such permit application submittals.
My application may reference the reports of prior consultants to the City; however all conclusions shall be those
of me and my design professionals.
Further IJeffrey Taylor and Jeffrey Pittman
understand and accept the risk of developing in an area with potential unstable
soils and understand the required temporary and permanent erosion control and site maintenance issues
associated with specific geological hazards or conditions of the site that may affect slope stability over time.
I will advise, in writing, any prospective purchasers of the site, or any prospective lessees of structures on the
site, of the slide potential and on -going maintenance issues of the area and on the property.
STATE OF WASHINGTON COUNTY OF �`NOyDM/Sid
\/drf1J9 V7*4yA 6 yv6XNJV1P/>7VAVBeing first duly sworn, says: I am the owner/applicant or the representative
for the above named; I have read the foregoing statement, know the contents thereof, and believe the same to
be true.
Gi L__ V"�
Signature of owner/applicant or presentative
SUBSCRIBED AND SWORN TO before me this tW day of AAF4 20-20
Rp R0Tti'fit
�0���.....,fffG
Signature- NOTAR UBLIC in and for the State of Washington ON
It
201998 i
Print Name:�iQA 8=tp
9�= S
Residing in A.V/l/N/OD�/�.�rhi� 9` . G'�=
My commission expires: 0 9I09I2026 //lily %\\ XRN���