HomeMy WebLinkAboutDRB130574 ApplicationDepartment of Community Development
75 South Frontage Road
Vail,CO 81657
Tel:970-479-2128
www.vailgov.com
••Development Review Coordinator
Applicati~for Design Review
'.,Additions -R~si.~entialor Commercial...
General Information:This application is required for all proposals involving the addition of any floor area,including net
floor area and/or gross residential floor area (GRFA).This also includes proposals for 'residential 250 additions'and
'interior conversions'.Applicable Vail Town Code sections can be found at www.vailgov.com under Vail Information -
Town Code Online.All projects requiring design review must receive approval prior to .submitting a building permit
application.An application for Design Review cannot be accepted until all required information is received by the
Community Development Department,as outlined in the submittal requirements.The project may also need to be
reviewed by t~Town Council and/or the Planning and Environmental Commission.Design review approval expires one
year from the date of approval,unless a building permit is issued and construction commences.
Fee:$300
I Single Family ·17 Duplex I Mu.lti-Family I Commercial
Description of the Request:Addition to Living Rm,Master Bath,and associated rooms below by expanding to the
north.The Living and Dining shall be enlarged to the west by relocating the exterior wall to over the existing garage
walls below.The deck is to be constructed as a wrap-around deck.
Addition of sq ft of GRFA (Residential)or sq ft of net floor area (Commercial!Office)
Physical Address:001454 Greenhill Ct,#W,Vail Colorado
Parcel Number:2103-124-02-011 (Contact Eagle Co.Assessor at 970-328-8640 for parcel no.)
Property Owner:John and Debra Landers
Mailing Address:2530 Outlook Trail,Broomfield,Colorado 80020
---------Il..-f-+--II--,,.......,,I--~,J.L-If__I.'I_----Phone:970-328-1299
Owner's Signature:~(;p!.~~~...:-.--..:::~:::::.~~..::::-=~1)~e~:.il!L-.!.~~q~"L!l~.e..:::.:...l"'...J=-_
Primary Contact/Owner Representative:Martin Manley Architects-Jeffrey P Manley
Mailing Address:PO Box 1587,Eagle CO 81631
Phone:970-328-1299----------------------------------------Fax:970-328-1273E-Mail:jeff@martinmanleyarchitects.com
For Office Use Only:Cash_CC:Visa /MC Last 4 CC #Exp.Date:Auth #Check #_
Fee Paid:Received From:_
Meeting Date:DRB No.:_
Planner:Project No:_
Zoning:Land Use:_
Location of the Proposal:Lot:Block:Subdivision:_
By Shelley Bellm at 8:09 am, Dec 30, 2013
2/5/14 DRB130574
PRJ13-0740
1 Glen Lyon
PROPOSED MATERIALS
Building Materials Type of Material Color
Roof
Siding
Other Wall Materials
Fascia
Soffits
Windows
Window Trim
Doors
Door Trim
Hand or Deck Rails
Flues
Flashing
Chimneys
Trash Enclosures
Greenhouses
Retaining Walls
Exterior Lighting
Other
match existing match existing
na na
stucco match existing match existing
match existing
match existing
match existing
na
match existing
direct vent
match existing
na
na
na
na
existing deck light relocated on deck
PROPOSED LANDSCAPING
Botanical Name Common Name Quantity Size
PROPOSED
TREES
AND SHRUBS
EXISTING TREES
TO BE REMOVED
Minimum Requirements for Landscaping: Deciduous Trees – 2” Caliper
Coniferous Trees – 6’ in height
Shrubs – 5 Gal.
Type Square Footage
GROUND COVER
SOD
SEED
IRRIGATION
TYPE OF EROSION CONTROL
Please specify other landscape features (i.e. retaining walls, fences, swimming pools, etc.)
na
Colorado spruce 2 3" - 4"
quaking aspen 2 (in clump)2.5"
Michael Johnson 12-16-13
ALTA COMMITMENT
Schedule B -Section 1
(Requirements)Our Order No.V50002630
The following are the requirements to be complied with:
Item (a)Payment to or for the account of the grantors or mortgagors of the full consideration for the estate or
interest to be insured.
Item (b)Proper instrument(s)creating the estate or interest to be insured must be executed and duly filed for record,
to-wit:
Item (c)Payment of all taxes,charges or assessments levied and assessed against the subject premises which are due
and payable.
Item (d)Additional requirements,if any disclosed below:
1.DULY EXECUTED AND ACKNOWLEDGED STATEMENT OF AUTHORITY SETTING FORTH THE
NAME OF 1999 MARCUS W.ACHESON IV QUALIFIED PERSONAL RESIDENCE TRUST DATED
APRIL 8,1999 AS A TRUST.THE STATEMENT OF AUTHORITY MUST STATE UNDER
WHICH LAWS THE TRUST WAS CREATED,THE MAILING ADDRESS FOR THE TRUST,THE
NAME AND POSITION OF THE PERSON(S)AUTHORIZED TO EXECUTE INSTRUMENTS
CONVEYING,ENCUMBERING,OR OTHERWISE AFFECTING TITLE TO REAL PROPERTY ON
BEHALF OF THE TRUST AND OTHERWISE COMPLYING WITH THE PROVISIONS OF SECTION
38-30-172,CRS.
2.DULY EXECUTED AND ACKNOWLEDGED STATEMENT OF AUTHORITY SETTING FORTH THE
NAME OF 1999 IRMELA ACHESON QUALIFIED PERSONAL RESIDENCE TRUST DATED APRIL
8,1999 AS A TRUST.THE STATEMENT OF AUTHORITY MUST STATE UNDER WHICH LAWS
THE TRUST WAS CREATED,THE MAILING ADDRESS FOR THE TRUST,THE NAME AND
POSITION OF THE PERSON(S)AUTHORIZED TO EXECUTE INSTRUMENTS CONVEYING,
ENCUMBERING,OR OTHERWISE AFFECTING TITLE TO REAL PROPERTY ON BEHALF OF
THE TRUST AND OTHERWISE COMPLYING WITH THE PROVISIONS OF SECTION
38-30-172,CRS.
3.RELEASE OF DEED OF TRUST DATED OCTOBER 28,1998 FROM ACHESON REAL ESTATE
TRUST DATED OCTOBER 19,1998 TO THE PUBLIC TRUSTEE OF EAGLE COUNTY FOR THE
USE OF THE NORTHERN TRUST COMPANY TO SECURE THE SUM OF $600,000.00
RECORDED NOVEMBER 05,1998,UNDER RECEPTION NO.675022.
4.EVIDENCE SATISFACTORY TO THE COMPANY THAT THE TERMS,CONDITIONS AND
PROVISIONS OF THE TOWN OF VAIL TRANSFER TAX HAVE BEEN SATISFIED.
5.WARRANTY DEED FROM 1999 MARCUS W.ACHESON IV QUALIFIED PERSONAL RESIDENCE
TRUST DATED APRIL 8,1999,AS TO AN UNDIVIDED ONE-HALF INTEREST AND 1999
IRMELA ACHESON QUALIFIED PERSONAL RESIDENCE TRUST DATED APRIL 8,1999,AS
ALTA COMMITMENT
Schedule B -Section 1
(Requirements)Our Order No.V50002630
Continued:
TO AN UNDIVIDED ONE-HALF INTEREST TO JOHN LANDERS AND DEBRA LANDERS
CONVEYING SUBJECT PROPERTY.
THE FOLLOWING DELETIONS/MODIFICATIONS ARE FOR THE OWNER'S POLICY.
NOTE:ITEMS 1-3 OF THE GENERAL EXCEPTIONS ARE HEREBY DELETED.
UPON THE APPROVAL OF THE COMPANY AND THE RECEIPT OF A NOTARIZED FINAL LIEN
AFFIDAVIT,ITEM NO.4 OF THE GENERAL EXCEPTIONS WILL BE AMENDED AS
FOLLOWS:
ITEM NO.4 OF THE GENERAL EXCEPTIONS IS DELETED AS TO ANY LIENS OR FUTURE
LIENS RESULTING FROM WORK OR MATERIAL FURNISHED AT THE REQUEST OF 1999
MARCUS W.ACHESON IV QUALIFIED PERSONAL RESIDENCE TRUST DATED APRIL 8,
1999,AS TO AN UNDIVIDED ONE-HALF INTEREST AND 1999 IRMELA ACHESON
QUALIFIED PERSONAL RESIDENCE TRUST DATED APRIL 8,1999,AS TO AN UNDIVIDED
ONE-HALF INTEREST.
CHICAGO TITLE INSURANCE COMPANY SHALL HAVE NO LIABILITY FOR ANY LIENS
ARISING FROM WORK OR MATERIAL FURNISHED AT THE REQUEST OF JOHN LANDERS AND
DEBRA LANDERS.
NOTE:ITEM 5 OF THE GENERAL EXCEPTIONS WILL BE DELETED IF LAND TITLE
GUARANTEE COMPANY CONDUCTS THE CLOSING OF THE CONTEMPLATED TRANSACTION(S)
AND RECORDS THE DOCUMENTS IN CONNECTION THEREWITH.
NOTE:UPON PROOF OF PAYMENT OF ALL TAXES,ITEM 6 WILL BE AMENDED TO READ:
TAXES AND ASSESSMENTS FOR THE YEAR 2003 AND SUBSEQUENT YEARS.
ITEM 7 UNDER SCHEDULE B-2 WILL BE DELETED UPON PROOF THAT THE WATER AND
SEWER CHARGES ARE PAID UP TO DATE.
**********NOTICE OF FEE CHANGE,EFFECTIVE SEPTEMBER 1,2002 **********
Pursuant to Colorado Revised Statute 30-10-421,"The county clerk and recorder shall collect a surcharge of $1.00 for
each document received for recording or filing in his or her office.The surcharge shall be in addition to any other
fees permitted by statute."
ALTA COMMITMENT
Schedule B -Section 2
(Exceptions)Our Order No.V50002630
The policy or policies to be issued will contain exceptions to the following unless the same are disposed
of to the satisfaction of the Company:
1.Rights or claims of parties in possession not shown by the public records.
2.Easements,or claims of easements,not shown by the public records.
3.Discrepancies,conflicts in boundary lines,shortage in area,encroachments,and any facts which a correct survey and
inspection of the premises would disclose and which are not shown by the public records.
4.Any lien,or right to a lien,for services,labor or material theretofore or hereafter furnished,imposed by law and
not shown by the public records.
5.Defects,liens,encumbrances,adverse claims or other.matters,if any,created,first appearing in the public records or
attaching subsequent to the effective date hereof but prior to the date the proposed insured acquires of record for
value the estate or interest or mortgage thereon covered by this Commitment.
6.Taxes or special assessments which are not shown as existing liens by the public records.
7.Liens for unpaid water and sewer charges,if any.
8.In addition,the owner's policy will be subject to the mortgage,if any,noted in Section 1 of Schedule B hereof.
9.RIGHT OF PROPRIETOR OF A VEIN OR LODE TO EXTRACT AND REMOVE HIS ORE
THEREFROM SHOULD THE SAME BE FOUND TO PENETRATE OR INTERSECT THE PREMISES
AS RESERVED IN UNITED STATES PATENT RECORDED AUGUST 16,1909,IN BOOK 48
AT PAGE 542.
10.RIGHT OF WAY FOR DITCHES OR CANALS CONSTRUCTED BY THE AUTHORITY OF THE
UNITED STATES AS RESERVED IN UNITED STATES PATENT RECORDED AUGUST 16,
1909,IN BOOK 48 AT PAGE 542.
11.RESTRICTIVE COVENANTS,WHICH DO NOT CONTAIN A FORFEITURE OR REVERTER
CLAUSE,BUT OMITTING RESTRICTIONS,IF ANY,BASED ON RACE,COLOR,RELIGION,
OR NATIONAL ORIGIN,AS CONTAINED IN INSTRUMENT RECORDED APRIL 04,1978,IN
BOOK 268 AT PAGE 698 AND AS AMENDED IN INSTRUMENT RECORDED AUGUST 25,
1987,IN BOOK 468 AT PAGE 447 THROUGH 472 AND AS AMENDED IN INSTRUMENT
RECORDED SEPTEMBER 15,1987,IN BOOK 469 AT PAGE 801,AND AS AMENDED IN
INSTRUMENT RECORDED MAY 2,1990 IN BOOK 528 AT PAGE 154.
12.EASEMENTS,CONDITIONS,COVENANTS,RESTRICTIONS,RESERVATIONS AND NOTES ON
THE RECORDED PLAT OF GLEN LYON SUBDIVISION.
ALTA COMMITMENT
Schedule B -Section 2
(Exceptions)Our Order No.V50002630
The policy or policies to be issued will contain exceptions to the following unless the same are disposed
of to the satisfaction of the Company:
13.EASEMENTS,RESERVATIONS,AND RESTRICTIONS AS SHOWN OR RESERVED ON THE
RESUBDIVISION PLAT RECORDED MARCH 11,1998 AS RECEPTION NO.649388.
14.TERMS,CONDITIONS AND PROVISIONS OF PARTYWALL AGREEMENT RECORDED MARCH 11,
1998 UNDER RECEPTION NO.649389.
15.PLAT NOTE AS CONTAINED IN RESUBDIVISION PLAT RECORDED MARCH 11,1998
RECEPTION NO.649388:
FOR ZONING PURPOSES,THE TWO LOTS CREATED BY THIS SUBDIVISION ARE TO BE
TREATED AS ONE ENTITY WITH NO MORE THAN ONE TWO FAMILY RESIDENCE ALLOWED
ON THE COMBINED AREA OF THE TWO LOTS.
16.TERMS,CONDITIONS AND PROVISIONS OF AMENDED DECLARATION AND PARTY WALL
AGREEMENT RECORDED APRIL 23,1998 UNDER RECEPTION NO.653485.
17.ACCESS EASEMENT AND ENCROACHMENT OF CONCRETE STAIRS AS SHOWN ON IMPROVEMENT
LOCATION CERTIFICATE PREPARED BY CONTRA LTD.DATED MARCH 20,1998.
LAND TITLE GUARANTEE COMPANY
DISCLOSURE STATEMENTS
Note:Pursuant to CRS 10-11-122,notice is hereby given that:
A)The subject real property may be located in a special taxing district.
B)A Certificate of Taxes Due listing each taxing jurisdiction may be obtained from the County
Treasurer's authorized agent.
C)The information regarding special districts and the boundaries of such districts may be obtained from
the Board of County Commissioners,the County Clerk and Recorder,or the County Assessor.
Note:Effective September 1,1997,CRS 30-10-406 requires that all documents received for recording or filing
in the clerk and recorder's office shall contain a top margin of at least one inch and a left,right and bottom
margin of at least one half of an inch.The clerk and recorder may refuse to record or file any document that
does not conform,except that,the requirement for the top margin shall not apply to documents using forms
on which space is provided for recording or filing information at the top margin of the document.
Note:Colorado Division of Insurance Regulations 3-5-1,Paragraph C of Article VII requires that "Every
title entity shall be responsible for all matters which appear of record prior to the time of recording
whenever the title entity conducts the closing and is responsible for recording or filing of legal
documents resulting from the transaction which was closed".Provided that Land Title Guarantee
Company conducts the closing of the insured transaction and is responsible for recording the
legal documents from the transaction,exception number 5 will not appear on the Owner's Title
Policy and the Lenders Policy when issued.
Note:Affirmative mechanic's lien protection for the Owner may be available (typically by deletion
of Exception no.4 of Schedule B,Section 2 of the Commitment from the Owner's Policy to be
issued)upon compliance with the following conditions:
A)The land described in Schedule A of this commitment must be a single family residence which
includes a condominium or townhouse unit.
B)No labor or materials have been furnished by mechanics or material-men for purposes of
construction on the land described in Schedule A of this Commitment within the past 6 months.
C)The Company must receive an appropriate affidavit indemnifying the Company against un-filed
mechanic's and material-men's liens.
D)The Company must receive payment of the appropriate premium.
E)If there has been construction,improvements or major repairs undertaken on the property to be purchased
within six months prior to the Date of the Commitment,the requirements to obtain coverage
for unrecorded liens will include:disclosure of certain construction information;financial information
as to the seller,the builder and or the contractor;payment of the appropriate premium fully
executed Indemnity Agreements satisfactory to the company,and,any additional requirements
as may be necessary after an examination of the aforesaid information by the Company.
No coverage will be given under any circumstances for labor or material for which the insured
has contracted for or agreed to pay.
Note:Pursuant to CRS 10-11-123,notice is hereby given:
This notice applies to owner's policy commitments containing a mineral severance instrument
exception,or exceptions,in Schedule B,Section 2.
A)That there is recorded evidence that a mineral estate has been severed,leased,or otherwise
conveyed from the surface estate and that there is a substantial likelihood that a third party
holds some or all interest in oil,gas,other minerals,or geothermal energy in the property;and
B)That such mineral estate may include the right to enter and use the property without the
surface owner's permission.
Nothing herein contained will be deemed to obligate the company to provide any of the coverages
referred to herein unless the above conditions are fully satisfied.
Form DISCLOSURE 09/01/02
JOINT NOTICE OF PRIVACY POLICY
Fidelity National Financial Group of Companies/Chicago Title Insurance Company and
Land Title Guarantee Company
July 1,2001
We recognize and respect the privacy expectations of today's consumers and the requirements of applicable federal andstateprivacylaws.We believe that making you aware of how we use your non-public personal information ("PersonalInformation"),and to whom it is disclosed,will form the basis for a relationship of trust between us and the publicthatweserve.This Privacy Statement provides that explanation.We reserve the right to change this PrivacyStatementfromtimetotimeconsistentwithapplicableprivacylaws.
In the course of our business,we may collect Personal Information about you from the following sources:
*From applications or other forms we receive from you or your authorized representative;*From your transactions with,or from the services being performed by,us,our affiliates,or others;*From our internet web sites;*From the public records maintained by governmental entities that we either obtain directly from thoseentities,or from our affiliates or others;and*From consumer or other reporting agencies.
Our Policies Regarding the Protection of the Confidentiality and Security of Your Personal Information
We maintain physical,electronic and procedural safeguards to protect your Personal Information from unauthorizedaccessorintrusion.We limit access to the Personal Information only to those employees who need such access inconnectionwithprovidingproductsorservicestoyouorforotherlegitimatebusinesspurposes.
Our Policies and Practices Regarding the Sharing of Your Personal Information
We may share your Personal Information with our affiliates,such as insurance companies,agents,and other realestatesettlementserviceproviders.We also may disclose your Personal Information:
*to agents,brokers or representatives to provide you with services you have requested;*to third-party contractors or service providers who provide services or perform marketing or otherfunctionsonourbehalf;and*to others with whom we enter into joint marketing agreements for products or services that we believe youmayfindofinterest.
In addition,we will disclose your Personal Information when you direct or give us permission,when we are requiredbylawtodoso,or when we suspect fraudulent or criminal activities.We also may disclose your PersonalInformationwhenotherwisepermittedbyapplicableprivacylawssuchas,for example,when disclosure is neededtoenforceourrightsarisingoutofanyagreement,transaction or relationship with you.
One of the important responsibilities of some of our affiliated companies is to record documents in the publicdomain.Such documents may contain your Personal Information.
Right to Access Your Personal Information and Ability to Correct Errors Or Request Changes Or Deletion
Certain states afford you the right to access your Personal Information and,under certain circumstances,to find outtowhomyourPersonalInformationhasbeendisclosed.Also,certain states afford you the right to requestcorrection,amendment or deletion of your Personal Information.We reserve the right,where permitted by law,tochargeareasonablefeetocoverthecostsincurredinrespondingtosuchrequests.
All requests submitted to the Fidelity National Financial Group of Companies/Chicago Title Insurance Companyshallbeinwriting,and delivered to the following address:
Privacy Compliance OfficerFidelityNationalFinancial,Inc.4050 Calle Real,Suite 220SantaBarbara,CA 93110
Multiple Products or Services
If we provide you with more than one financial product or service,you may receive more than one privacy noticefromus.We apologize for any inconvenience this may cause you.
Form PRIV.POL.CHI
PURCHASER FINAL AFFIDAVIT AND AGREEMENT
RE:Commitment No.V50002630 Escrow No.V50002630----~--~~------------------~~~~--
State of Colorado,County of EAGLERE:Real property and improv-e-n-1e-n"""'ts--;-10~c~a:""'te-;d-a--"t-:---------------
.1454 GREENHILL COURT,VAIL,CO 81657
in the County of EAGLE State of Colorado,and more particularly describedasfollows:
LOT 1W,GLEN LYON SUBDIVISION (AMENDED PLAT),A RESUBDIVISION OF LOT 1,ACCORDING TO
THE PLAT RECORDED MARCH 11,1998 AS RECEPTION NO.649388,COUNTY OF EAGLE,STATE OF
COLORADO.
Whereas,Land Title Guarantee Company has issued its Commitment No.V50002630coveringsaidproperty,
The Undersigned,Purchaser of the Real Estate and improvements located on the herein described property,
being first duly sworn on oath,for the purpose of inducing Land Title Guarantee Company to issue its ALTA
Pol icy of Title Insurance,in connection with the property described in said commitment,do hereby make the
following representations to Land Title Guarantee Company,with full knowledge and intent that said companyshallrelythereon:
1.That those certain persons,firms and corporations,including the General Contractors,and all
subcontractors hired by or under contract with the undersigned who have furnished services,labor or
materials,according to plans and specifications or otherwise,used in connection with the construction ofimprovementsontherealestatehereindescribed,have been paid in full.
2.That no claims have been made to the undersigned,nor is any suit now pending on behalf of any
contractor,subcontractor,laborer or materialman,nor any other suit of any kind,and that no chattelmortgages,conditional bills of sale,security agreements or financing statements have been made.
Further,there are no liens or encumbrances recorded or unrecorded affecting the subject property.
3.That there has been no architectural service or other work of any kind,contracted for or otherwiseorderedbytheundersigned,within the last 120 days,paid or unpaid,which could establish a priority for
any future mechanics'lien claimant.If services or other work has been contracted for within the preceding
120 days,undersigned is required to attach a description of same with the corresponding payment information.
4.That the purchaser(s)have or will take possession of the premises on or about
September 19,2003
S.That the full purchase price has been paid by said purchaser(s)to said Owner-Seller.
If any deed of trust recorded against my property secures an open line of credit or a revolving line of
credit,I1we affirm that I/we have not drawn additional funds from the line of credit since the date of
the payoff statement from my/our lender to Land Title Guarantee Company.
I1We further agree and affirm that I1we will not make any further draws on the line of credit after the
date of this affidavit.I1We further affirm that I1we have not taken out any loans against our property
other than those shown on the above referenced commitment number.
In light of the foregoing facts and representations,the undersigned,in consideration of the issuance by Land Title
Guarantee Company of a policy of Title Insurance covering said property in the manner describe~by th~
undersigned as set out above,hereby promise,covenant and agree to hold harmless,protect and indemnify Land
Title Guarantee Company,and any title insurance company that has issued an ALTA Policy of insurance pursuant
to the commitment describedabove,from and against those liabilities,losses,damages,expenses and charges,
including but not limited to reasonable attorneys'fees (including attorney's fees in the enforcement of this
agreement)and expenses of litigation arising out of any inaccuracies in the above representations.
Owner(s)Forwarding Address:
2530 OUTLOOK TRAIL
BROOMFIELD,CO 80020
ISTATEOFCOLORADOPn/"'/1/t")}COUNTY OF ~'-'Vvv P I
=T;r-h-e-'f~or-e-g-oinginstrument was acknowledged before me on this day of
September 19~2003
by JOHN LANDERS AND DEBRA LANDERS
Form AFF.PUR (10/2001)
~--.,WITNESS MY HAND AN~0jFIElAL SEAL.My Commission Expires:5 I Ie 0~1
AFFIDAVIT (Entity -Transferor)
TO:JOHN LANDERS AND DEBRA LANDERS
Transferee (Buyer)
Section 1445 of the Internal Revenue Code provides that a transferee
(buyer)of a U.S.real property interest must withhold tax if the trans-
feror (seller)is a foreign person.To inform the transferee (buyer)
that withholding of tax is not required upon the disposition of a U.S.
real property interest
1999 MARCUS W.ACHESON IV QUALIFIED PERSONAL RESIDENCE TRUST DATED
APRIL 8,1999 AND 1999 IRMELA ACHESON QUALIFIED PERSONAL RESIDENCE
hereinafter referred to as the transferor,certifies the
following;
1.The transferor is not a foreign corporation,foreign partner-
ship,foreign trust,or foreign estate (as those terms are
defined in the Internal Revenue Code and Income Tax Regulations);
2.The transferor's U.S.employer identification number is
112-34-8833 ,and
3.The transferor's office address is:
PO BOX 151
BARRINGTON HILLS,IL 60011
The transferor understands that this certification may be disclosed
to the Internal Revenue Service by transferee and that any false statement
contained herein could be punished by fine,imprisonment,or both.
Under penalties of perjury I declare that I have examined this
certification and to the best of my knowledge and belief it is true,
correct and complete,and I further declare that I have authority to sign
this document on behalf of the transferor.
DATE:September 19,2003
1999 MARCUS W.ACHESON IV QUALIFIED
PERSONAL RESIDENCE TRUST DATED APRIL 8,
1999
STATE OF
ss.
COUNTY OF 1999 IRMELA ACHESON QUALIFIED PERSONAL
RESIDENCE TRUST DATED APRIL 8,1999
-BY-:---'I\y,...--f--j~~~"
Sworn to before me on this day of September 19,2003
by
My commission eXPires:__~(O~U1J~~=b_Witness my hand and official seal.
Form FIRI?TA.ENT VS0002630