Type of Application Requested

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Coos County Land Use Permit Application

SUBMIT TO COOS COUNTY PLANNING DEPT. A T 225 N. ADAMS STREET OR COOS COUNTY PLANNING 250 N. BAXTER, COQUILLE OR 97423. EMA

PHONE: 541-396-7770

(S

FEB 2 2 2021

L TO:

FILENUMBER: /feU-2^-0/3>

Date Received:. _Receipt if:

njyxim

Thisapplicationshallbefilledoutelectronically. Ifyouneedassistancepleasecontactstaff.

Ifthefeeisnotincludedtheapplicationwillnotbeprocessed.

(If payment is received on line a file number is required prior to submittal)

LANDINFORMATION A. LandOwner(s) RodneyJackson

Mailing 56174TomSmithRoad Bandon,OR97411

Phone: 541 435 4500 Email: tj ackson307@gmai 1. com

Township: Range: Section; 14Section: 1/16Section: Taxlots:

28S H 14W B 16 H Q Ho R 01401

Select Select Select Select Select

TaxAccountNumberfsl:955105 TaxAccountNumber(s)

Zone; SelectZoneRuralResidential-5 (RR-5) 0 PleaseSelect

B.Applicant(s)RodneyJackson

Mailingaddress: 56174TomSmithRoad Bandon,OR 97411 Phone: 541435 4500

C. ConsultantorAgent:

MailingAddress

Phone#: Email:

TypeofApplicationRequested

Comp Plan Amendment Administrative Conditional Use Review - ACU

Text Amendment Hearings Body Conditional Use Review - HBCU

Map - Rezone Variance - V

Land Division - P, SUB or PUD Family/Medical Hardship Dwelling

SpecialDistricts andServices

WaterServiceType;SelecttypeofWater Service SewageDisposalType: SelecttypeofSewageSystem SchoolDistrict:SelectSchool District FireDistrict:SelectFireDistrict

Pleaseincludethesupplementapplicationwithrequest. Ifyouneedassistancewiththeapplicationor supplementalapplicationpleasecontactstaff. Staffisnotabletoprovidelegaladvice. Ifyouneedhelp withfindingsplease contactalanduse attorneyorcontultant.

Anypropertyinformationmaybeobtainedfrom ataxstatementorcanbefoundon theCountyAssessor’s webpageatthefollowinglinks: Map Information OrAccountInformation

CoosCountyLandUseAppiciation-Page1

D. ATTACHEDWRITTENSTATEMENT.Withalllanduseapplications,the“burdenof proof*isontheapplicant.Itisimportantthatyouprovideinformationthatclearlydescribes thenatureoftherequestedindicateshowtheproposalcomplieswithalloftheapplicable

criteriawithintheCoosCountyZoningandLandDevelopmentOrdinance(CCZLDO). You mustaddresseachoftheOrdinancecriteriaonapoint-by-pointbasisinorderforthis

applicationtobedeemedcomplete.AplannerwillexplainwhichsectionsoftheOrdinance pertaintoyourspecificrequest.Theinformationdescribedbelowisrequiredatthetimeyou submityourapplication. Theprocessingofyourapplicationdoesnotbeginuntilthe

applicationisdeterminedtobecomplete. Anincompleteapplicationwillpostponethe decision,ormayresultindenialoftherequest.Pleasemarkthe itemsbelowtoensureyour submittaliscomplete.

in.

ApplicationCheckList:Pleasemakeoffallstepsasyoucompletethem.

I. I IAwrittenstatementofintent,attachedtothisapplication,withnecessarysupporting evidencewhichfullyandfactuallydescribesthefollowing:

1. n Acompleteexplanationofhowtherequestcomplieswiththeapplicableprovisions andcriteriaintheZoning Ordinance.Aplannerwillexplainwhichsections ofthe

Ordinancepertaintoyourspecificrequest. YoumustaddresseachoftheOrdinance criteriaonapoint-by-pointbasisinorderforthisapplicationtobedeemedcomplete.

□adescriptionofthepropertyinquestion,including,butnotlimitedtothefollowing:

size,vegetation,cropsgrown,access,existingbuildings,topography,etc.

r\Acompletedescriptionoftherequest,includinganynewstructuresproposed.

I Ilfapplicable, documentationfix>msewerandwaterdistrictshowingavailabilityfor connection.

\ \ Aplotplan(map)oftheproperty.Pleaseindicatethe followingonyourplotplan:

1. [^Locationofallexistingandproposedbuildingsandstructures

I [ExistingCountyRoad,publicright-of-wayorothermeansoflegalaccess

^Locationofanyexistingsepticsystemsanddesignatedrepairareas

^Limitsof100-yearfloodplainelevation(ifapplicable) I IVegetationontheproperty

6; ^Locationofanyoutstandingphysicalfeatures

7. ^Locationanddescription(paved,gravel,etc.)ofvehicularaccesstothedwelling location

nAcopyofthecurrentdeed,includingthelegaldescription,ofthesubjectproperty.

CopiesmaybeobtainedattheCoosCountyClerk'sOffice.

n.

2.

3.

4.

2.

3.

4.

5.

Icertifythatthisapplicationanditsrelateddocuments areaccuratetothebestofmyknowledge.I amawarethatthereisanappealperiodfollowingthedateofthePlanningDirector’s decisionon thislanduseaction. Iunderstandthatthesignatureonthisapplicationauthorizesrepresentatives oftheCoosCoimtyPlanningDepartmenttoenteruponthesubjectpropertytogatherinformation pertinenttothisrequest.Iftheapplicationissignedbyanagent,theowner'swrittenauthorization mustbeattached.

IfthisapplicationisrefereeddirectlytoahearingsofficerorhearingsbodyIunderstandthatIam obligatedtopaytheadditionalfeesincurredaspartoftheconditionsofapproval. Iunderstand thatI/wearenotactingonthecounty’sbehalfandanyfeethatisaresultofcomplyingwithany conditionsofapproval istheapplicants/propertyownerresponsibility.Iunderstandthat

conditionsofapprovalarerequiredtobecompliedwithatalltimeandanviolationofsuch conditionsmayresultinarevocationofthispermit.

CoosCountyLandUseAppictation-Page2

ACCESSINFORMATION

TheCoosCountyRoadDepartmentwillbereviewingyourproposalforsafeaccess,driveway,road,andparking standards. Thereisafeeforthisservice. IfyouhavequestionsabouttheseservicespleasecontacttheRoad Departmentat541-396-7660.

PropertyAddress: 56174TomSmithRoad Bandon,OR97411

TypeofAccess: CountyRoad NameofAccess: TomSmithRoad IsthispropertyintheUrbanGrowthBoundary? Yes

Isanewroadcreatedaspartofthisrequest? No

Requiredparkingspacesarebasedontheuseoftheproperty. Ifthisisforaresidentialusetwospaces arerequired. Anyotherusewillrequireaseparateparkingplansubmittedthatisrequiredtohavethe followingitems:

• Currentutilitiesandproposedutilities;

• RoadmastermayrequiredrawingsandspecsfromtheOregonStandardsSpecificationManual(OSSC) (currentedition).

-• Thelocationanddesignofbicycleandpedestrianfacilitiesshallbeindicatedonthesiteplanif thisis aparkingplan;

• Locationofexistingandproposedaccesspoint(s)onbothsidesoftheroadwhereapplicable;

• Pedestrianaccessandcirculationwillberequiredifapplicable.Internalpedestriancirculation shallbe providedinnewcommercial,office,andmulti-familyresidentialdevelopmentsthrough theclusteringof buildings,constructionofwalkways,landscaping,accessways,orsimilar techniques;

• Allplans(industrialandcommercial)shallclearlyshowhowtheinternalpedestrianandbicycle .facilitiesofthesite-connectwith.external.existingor.plannedfacilitiesor.systems;

• Distancestoneighboringconstructedaccesspoints,medianopenings(whereapplicable),traffic signals (whereapplicable),intersections,andothertransportationfeaturesonbothsidesofthe property;

• Niunberanddirectionoflanestobeconstructedontheroadplusstripingplans;

• Allplatmedtransportationfeatures(suchassidewalks,bikeways,auxiliarylanes,signals,etc.); and

• Parkingandinternalcirculationplansincludingwalkwaysandbikeways,inUGB’sandUUC’s.

.Additionalrequirements.that.may-apply.dependingonsizeofproposed.development.

a. TrafficStudycompletedbyaregisteredtrafficengineer.

b. AccessAnalysiscompletedbyaregisteredtrafficengineer c. SightDistanceCertificationfromaregisteredtrafficengineer.

Regulationsregardingroads,driveways, accessandparkingstandardscanbefoundinCoosCounty ZoningandLandDevelopmentOrdinance(CCZLDO)Article7.

BysigningtheapplicationIamauthorizingCoosCountyRoadmasterorhisdesigneetoenterthe propertytodeterminecompliancewithAccess,Parking,drivewayandRoadStandards.Iunderstand thatIshallcontacttheRoadDepartmenttoletthemknowwhentheimprovementsarereadytobe inspectedorBonded. Contactbyphoneat541-396-7600

CoosCountyRoadDepartmentUseOnly Roadmasterordesignee:__

□Driveway □Parking FileNumber: DR-2|-0Z4p

mAccess I IBonded Date: Receipt#_

(joos uounty Land use Appiciation - Mage a

coos COUNTY ROAD DEPARTMENT

DateRcceived:_

Receipt#____

PARKING VERIFICATION PERMIT

225 N. ADAMS STREET OR MAILED TO: 250 N. BAXTER, COQUiLLE OR 97423

AHnewandreplacementdwellings, commercialorIndustrialdevelopmentrequiresthis form. Otherdevelopmentmayrequire verificationofaccess.

PaymentforthispermitcanbesubmittedtotheCosCountyPlanningDepartmentintheformofcashorcheck

For Office Use Only: FILE # FEE:

Applicant/Agent(printname):_

Mailingaddress: <R1>» ___ <^7^11---

Phone: Ofi_______ Email: ^ ^wVI * C£>tfa

LandOwner(printname):.

Mailingaddress:_______

Phone: Email:

LOCATION

^kt

^46I

Sl(esddre»

JT&I 7-4 -raM t~n-f / OTZ.

Zone(i) Acreage

EXISTINGIMPROVEMENTSDescribeanyimprovementstothepropertysuchasanyroads,structures,etc.

HQU^Ey Wpu./ ---

ApplicantSignature:

Throughapplyingforthisap/nicjil^m I^horize theCoos CountyRoadmasterordesigneetoenterupon theproperty subject ofthe applicatir^to conduct a site visit necessaryforprocessing the requested application. Theapplicantshall contactthe Coos CountyRoadDepartmentto arrangeforthesitevisit once the access, driveway, road and/or parking requirements have been met Ifyou would like to schedule a visit or inquirefurther about requirements including bondingplease contact541-396-7660.

This signedform must be returned to the Planning Department prior to the issuance ofa zoning complianceletter.

ACCESS/DRIVEWAY/ROAD/

PARKING VERIFICATION PERMIT

CoosCountyRoadDepartmentUseOnly Roadmasterordesignee:

□Driveway QParking QAccess

I IBonded Date: Receipt#_

CommentsandReouirements

ersion 10/2016

NOTICE: TheApplicantisresponsible forproviding enoughinformationinthis applicationforstaffto makereasonablefindings._________________________________________________________________

REQUIRED SUBMITTALS

1. Allpermitsshallcontainthefollowing:

Propertyboimdaries;

2.

a.

b.

c.

d.

e.

Locationofallstructuresonthesubjectproperty;

Requiredparkingspaces;

Currentutilitiesandproposedutilities; and

RoadmastermayrequiredrawingsandspecsfromtheOregonStandardsSpecification Manual(OSSC)(currentedition).

InadditionParkingPlansshallcontainthefollowing:

a. Thelocationanddesignofbicycleandpedestrianfacilitiesshallbeindicatedonthesiteplan ifthisisaparkingplan;

b. Locationofexistingandproposedaccesspoint(s)onbothsidesoftheroadwhereapplicable;

c. Pedestrianaccessandcirculationwillberequiredifapplicable.Internalpedestriancirculation shallbeprovidedinnewcommercial,office,andmulti-familyresidentialdevelopments throughtheclusteringofbuildings,constructionofwalkways,landscaping,accessways,or similartechniques;

d. Allplans(industrialandcommercial)shallclearlyshowhowtheinternalpedestrianand bicyclefacilitiesofthesiteconnectwithexternalexistingorplannedfacilitiesorsystems;

e. Distancestoneighboringconstructedaccesspoints,medianopenings(whereapplicable), trafficsignals(whereapplicable),intersections,andothertransportationfeaturesonboth sidesoftheproperty;

f. Numberanddirectionoflanestobeconstructedontheroadplusstripingplans;

g. Allplannedtransportationfeatures(suchassidewalks,bikeways,auxiliarylanes,signals, etc.);and

h. Parkingandinternalcirculationplansincludingwalkwaysandbikeways,inUGB’sand UUC’s.

3. AMtionalrequirementsthatmayapplydependingon sizeofproposeddevelopment.

a. Traffic Studycompletedbyaregisteredtrafficengineer.

b. AccessAnalysiscompletedbyaregisteredtrafficengineer c. SightDistanceCertificationfromaregisteredtrafficengineer.

Regulationsregardingroads,driveways,accessandparkingstandardscanbefoundinCoosCounty Zoningan1LandDevelopmentOrdinance(CCZLDO)Article7.

DRIVEWAYSTANDARDSDRAWING-SINGLERESIDENCE SightDistanceRequirements(attheqjproachentrance)

• Speedlessthan35mph-100*bothdirections

• Speedgreaterthan35mph-1SO*bothdirections

AllWeatherSurface-minimum4-inchesaggregatebaseorasrequiredbyRoadmaster.

Figure7.1.425

Minimum12-inchCulvert (Ifrequired)

TurnaroundRequiredatResidence (hammerheadorcircular)

DrivewayGrade-Average 15%,Maximum 18%

R^ius10' Radius20'

12'Min.

to

Constructappropriateditchestopreventwaterrunofffromdischargingfromthelandontoapublicroadunder countyjurisdiction. PursuanttoORS368.256thecreationofaroadhazardprohibited.

Ifdrivewayisover1,000ft.,apulloutisrequiredevery600ft.

Ifadrivewaycannotmeetthemaximum18%gradedienalegalagreementmaybesignedandrecordedatthe CountyClerk’sofficereleasingtheCountyfromanyliabilityfromsuchdrivewaydevelopment Thisdocument mustbereferencedonthepropertydeedtoallowfuturepurchasersknowthatthedrivewaydoesmeetstandard. A signshallbeplacedatthebottomofthedrivewaytowarnanyusersofthedrivewaythatitisnotbuilttostandard.

ProofmustbefiledwiththePlanningandRoadDepartmentthatthedocumentshavebeenfiledandasignhasbeen placed. Theformlocatedonthefollowingpagemustbecompleted,signedandrecordedpriortoanylanduse authorizations.

Access/Driveway/Road/ParkittgVerification Page4of8

RURALFIGURES

DrivewaysSingleResidenceFigureI

Dttch

V Wearing

Surface

SI.A*Directed

Min.A"(0.33') AggregateBase

Subgrade Subgrade

Surface

PutiOuts

-25'- -25'- -25'-

AggngateBaseMin.4"

FORESTRY,MININGORAGRICULTURALACCESS:

A privateroadwhichiscreatedtoprovideingressoregressinconjunctionwiththeuseoflandforforestry,mining oragriculturalpurposesshallnotberequiredtomeetminimumroad,bridgeordrivewaystandardssetforthinthis ordinance,noraresuchresource-relatedroads,bridgesordrivewaysreviewablebytheCoimty.However,allnew andre-openedforestry,miningoragriculturalroadsshallmeettheaccessstandardslistedinthissection.

Forestry,MiningorAgriculturalAccessStandarddrawing SightDistanceRequirements(attheapproachentrance)

• Speedlessthan35mph-100*bothdirections

• Speedgreaterthan35 mph-150’bothdirections

AllWeatherSurfaces-minimumaggregatebaseasrequiredbytheRoadmaster Theaccesswillbedevelopedfromtheedgeofthedevelopedroad.

Figure7.1,450

Minimum 12-inchCulvert (Ifrequired) MaxGrade18%

20'Min.

Radius20'

Constructappropriateditchestopreventwaterrunofffromdischargingfromthelandontoaroadundercounty jurisdiction. PursuanttoORS368.256 creationofaroadhazardisprohibited.

Access/Driveway/Road/ParkingVerification ^{Page 5 of8}

VISIONCLEARANCETRIANGLE:

Thefollowingregulationsshallapplytoallintersectionsofstreetsandroadswithinalldistrictsinordertoprovide adequatevisibilityforvehiculartraffic. Thereshallbenovisualobstructionsoverthirty-six(36)inchesinheight withintheclearvisionareaestablishedherein. Inadditiontostreetorroadintersections,theprovisionsofthis sectionshallalsoapplyto mobilehomepark,recreationalvehiclepark,andcampgroundaccesses(entrancesor exists).

Theclearvisionareashallextendalongtheright-of-wayofthestreetforaminimumof100feetwherethespeed limitislessthan35 andnotlessthan 150feetwherethespeedlimitisgreaterthan35m.p.h. Theclear visionareashallbeeffectivefromapointinthecenteroftheaccessnotlessthan25feetbackfromthestreetright- of-wayline.

Greaterthan35m.p.h. Lessthan35m.p.h.

lOO’

Orratertbaa39m.pJi. !..«•«ttxm39tn.p.b.

PARKINGLOT STANDARDS:

■ ■ : ' USE' ■ .- ■

.

Retail storeandgeneralcommercialexcept asprovidedinsubsectionb.ofthissection.

1 spaceper200squarefeetoffloor area,plus 1 spaceperemployee.

1 Bicyclespace Retailstorehandlingbulky

merchandise(furniture,appliances, automobiles,machinerv,etc.)

1 spaceper600squarefeetoffloorarea,plus 1 spaceperemployee.

1Bicyclespace Bank,generaloffice,(exceptmedical

anddental).

1 spaceper600squarefeetoffloorarea,plus 1 spaceperemployee.

1 Bicyclespace

Medicalordentalclinicoroffice. 1 ‘/aspaceperexaminationroomplus 1 spaceperemployee.

1 Bicyclespace

Eatingordrinkingestablishment, 1 spaceper200squarefeetoffloorarea,plus1 spaceforevery4seats.

1 Bicyclespace

BowlingAlley 5 spacesperalleyplus

1 spaceper2employees.

1 Bicyclespace

Dancehall,skatingrink,lodgeball. 1 spaceper100squarefeetoffloorareaplus1 spaceper2employees.

1 Bicyclespace

Stadium,arena,theater,racetrack 1 spaceper4seatsorevery8feetofbenchlength

Access/Driveway/Road/ParkingVerification Page6of8

orequivalentcapacityifnoseatingisprovided.

1Bicyclespace Storage warehouse,manufacturing

establishment,ortruckingfreight terminal

1 spaceperemployee.

1Bicyclespace

Wholesaleestablishment 1 spaceperemployeeplus

1 spaceper700squarefeetofpatronservingarea.

1 Bicyclespace

Welfareorcorrectionalinstitution 1 spaceper5bedsforpatientsorinmates,plus 1 spaceperemployee.

1Bicyclespace Convalescenthospital,nursinghome,

sanitarium,resthome,homefortheaged.

1 spaceper5bedsforpatientsorresidents,plus 1 spaceperemployee.

1 Bicyclespace

Church,mortuary,sportsarena,theater. 1 spacefor4seatsorevery8feetofbench lengthinthemainauditorium.

1 Bicyclespace

Library,readingroom. 1 spaceper400squarefeetoffloorareaplus 1 spaceperemployee.

1 Bicyclespace

Preschoolnursery,kindergarten. 2spacesperteacher;plusoff-streetloading andunloadingfacility.

1 Bicyclespaceper20students Elementaryorjuniorhighschool. 1 spaceperclassroomplus

1 spaceperadministrativeemployeeor

1 spaceper4seatsorevery8feetofbenchlength intheauditoriumorassemblyroomwhichever isgreater.

1 Bicyclespaceper 10students

Highschool 1 spaceperclassroomplus

1 spaceperadministrativeemployeeplus 1 spaceforeach6studentsor1 spaceper4seats

or8feetofbenchlengthinthemain Auditorium,whicheverisgreater.

1Bicyclespaceper-20students

Otherauditorium,meetingroom. 1 spaceper4seatsorevery8feetofbench length.

1Bicyclespace

Sinele-familvdwellins. 2spacesperdwellinsunit.

Two-familyormulti-familydwellings. 1 !4spacesperdwellingunit.

1bicyclespacejjerunitforbuildings with4ormoreunits.

Motel,hotel,rooming orboarding house.

1 spaceperguestaccommodationplus 1 spaceperemployee.

MobilehomeorRVpark. 1 VispacespermobilehomeorRVsite.

Access/Driveway/Road/Paikmg Verification Page 7 of8

Parking lotstandards—Usethetableabovealongwiththeareaavailabletocalculatethenumberofspacesrequired anddeterminethetypeofparkinglotthatneedstobecreated. Thetablebelowexplainsthespacingand

dimensionstobeused.

MinimumHorizontalParkingWidthsforStandardAutomobiles One-way

Parallel

30deg 45deg 60deg 90deg

Figures

SinglerowofFarkim;

ParkingAisle 9’ 20* 22’ 23’ 20’

DrivingAisle 12’ 16’ 17’ 20’ 24’

Minimumwidthofmodule (rowandaisle)

2V 36’ 39’ 43’ 44’

Figures #’s

TwoRowsofParkins

ParkingAisle 18* 40’ 44’ 46’ 40’

Driving Aisle 12’ 16’ 17’ 20’ 24’

Minimumwidthofmodule (rowandaisle)

30’ 56’ 61’ 66’ 64’

ForfigurespleaseseeCoosCountyZoningandLandDevelopmentOrdinance(CCZLDO) §7.5.175.

Pleasenote:Ifyouaredevelopinginanywetlandsorfloodplain pleasecontactDepartmentofStateLandsto ensureyouarenotrequiredtoobtainastatepermit.

Access/Driveway/Road/ParkingVerification Page8of8

To: CoosCountyPlanningDepartment From: RodneyJackson, PropertyOwner Date: February16, 2021

Subject:StatementofuseforproposedAccessory Dwelling Unit

The information beingprovidedforconsideration off improvementsto include an accessorydwellingthatwill house agingfamilymemberswith no chargeor rent.

Thiswill never beused asa rental dwellingupontheirdemise.

As required, please considerthefollowing asevidenceand description of improvements plannedforthe propertylocated at56174Tom Smith Road, Bandon, Oregon, Coos County:

1. Subject propertyisa 5.3-acre parcel located in CoosCounty; Oregon zoned rural residential. This is largerthan the necessaryrequirementof 2acres. Thetotal square footageofproposed projectwill be lessthan the maximum squarefootageof75%.

2. Seeattached plot plan.

3. Proposedconstruction will beas follows:attached additional square footageto existingsinglefamilydwelling of595 squarefeet. This

addition will include kitchen, living room, bedroom and 1full bathroom.

4. Water, sewerand electricity is supplied bycurrentwell and septic systemthataccommodates a4-bedroom dwelling.

AFTER RECORDING RETURN TO:

Daniel M. Hinrichs, P. C.

Attorney at Law 590 Commercial Avenue Coos Bay, Oregon 97420 SEND TAX STATEMENTS TO;

Rodney I. Jackson, Trustee of die Rodney I. Jackson Living Trust 56174 Tom Smith Road Bandon, Oregon 97411

CoosCourrty.Oregon 2020-07481

$8C.0O 07/31/202011:42AM Pgs-1 00119107202000074810010013

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OotobleHaUor,CCC,CoosCountyCtMfc

BARGAINANDSALEDEED

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KNOW ALL MEN BY THESE PRESENTS, that RODNEY ISAAC JACKSON, who acquired title

property, with the tenements, hereditaments and appurtenances thereunto belonging or in any way appertaining, situated in the County of Coos, State of Oregon, bounded and described as follows, to-wit;

Parcel 1 of ftnal Partition Plat 2007 # S, filed In CAB C-530, recorded February 2,2007 as micrbfilffl no. 2007-1532, Records of Coos County, Oregon.

Commonly known as: 56174 Tom Smith Road, Bandon, Oregon.

Coos County Account: 955105.

Consideration: No consideration is being given for thb conveyance, which is executed and delivered for the purpose of transferring ownership of property owi^ by the Grantor to a revocable living trust.

BEFORE SIGNING OR ACCEPTING THIS INSTRUMEN'f^ TRANSFERRING FEE TITLE

SHOULDINQUIREABOUTTHEPERSON’SRIGHTS,IFAN'Wh^bEgORS195.300,195.301,AND195.305 TO195-336ANDSECTIONS5TO11,OF CHAPTER4241'UNimoREGONLAWS2007,SECTIONS2TO 9AND17,CHAPTER855,OREGONLAWS200^ANDtSECTlONS2TO7,CHAPTER8,OREGONLAWS 2010. THIS INSTRUMENT DOES NOTALLaw;4USl6l,aF THE PROPERTY DESCRIBED INTHIS INSTRUMENTIN VIOLATION OF APPLICABLRLAND'USE LAWS ANDREGULATIONS. BEFORE SIGNINGORACCEPTINGTHISINSTRUMENT^XH^ERSONACQUIRINGFEETITLETOTHEPROPERTY SHOULDCHECKWITHTHEAPPROPRIATECIWORCOUNTY-^LAIWINGDEPARTMENTTOVERIFY THEUNITOFLANDBEINGTRANSFSRREDdS'ALAWFUlsLY^mBLISHEDLOTORPARCEL,AS DEFINED INORS92.010OR215.0lO;:XOW.ERSrYTHEAPHIOY^DuSESOFTHELOTORPARCEL,TO DETERMINEANYLIMITSON-LAWSUPfSAGAINSTFARMi^GORFORESTPRACTICESASDEFINEDIN ORS30.930ANDTOINQUIRE-^ABC^TiHERIGHTSOFN&IGHBORINGPROPERTYOWNERS,IFANY, UNDERORS 195.300, MIS.301 A^D'l95.305 /^DiSECTIONS 5 TO 11, OFCHAPTER424, OREGONLAWS2007,SEOHONS^TO9A\^D17,CHAPTER855.OREGONLAWS2009,ANDSECTIONS 2TO7,CHAPTER8,OREGON,LAWS2010.

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.lU.,

WITNESS my hand and seal this day of Q{xLy______, 20^.

aka ROD JACKSON

STATE OF OREGON County of Coos

^ as.

) •

Personally appeared before me this O’} day of . 2QgA the above-named RODNEY ISAAC JACKSON who acknowledged the foregoing instrument to be their voluntary act and deed.

OFF!OAUSTAMP CARROLLAHM8TH0NQ NOTARYPUBLIC-OREGON

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