Conservation Easement Form - County Of Clackamas Page 2

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The true and actual consideration for this transfer is: $______________ to be paid prior to
construction;
Gift
Non-monetary
Should a gift or non-monetary value be indicated,
the Grantors acknowledge their right to just compensation and hereby waive their right to said
compensation.
IN WITNESS WHEREOF, the undersigned have set their hands and seals.
GRANTOR
Representing:
By:
Name: _______
STATE OF OREGON )
)ss.
County of Clackamas )
This instrument was acknowledged before me on this _________ day of ______________________,
20___ by ____________________________to be the free act and deed of said corporation/individual.
Notary Public for Oregon
My Commission expires: ________________
GRANTEE
CLACKAMAS COUNTY SERVICE DISTRICT NO. 1
By:
Director
Name:
STATE OF OREGON )
)ss.
County of Clackamas )
This instrument was acknowledged before me on this _________ day of ______________________,
20___ by ___________________________________ on behalf of Clackamas County Service District
No. 1.
Notary Public for Oregon
My Commission expires: __________________

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