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CITY OF SAN MARCOS <br />DISCLOSURE AFFIDAVIT-REAL PROPERTY <br />STATE OF TEXAS <br />COUNTY OF HAYS <br />The City of San Marcos C-A'-I't, (name of City Board, <br />Commission, etc.) states under oath as follows: <br />I have a substantial interest in real property that may be involved in a vote or decision of the governmental body <br />described above, and it is reasonably foreseeable that the vote or decision will have a special economic effect on the <br />value of the property, distinguishable from its effect on the public. <br />The real property is described as follows (give street address, or location and approximate size): <br />l 3 o C'^s-I- S ewa G ?GC <br />I acknowledge that my interest in this real property has a fair market value of $2,500 or more. <br />The vote or decision involving this interest in real property is on the D2C-r-. 4-t' (0, 14Rq (date) agenda of the <br />governmental body, and the subject matter of the vote or decision is as follows: <br />3+e.,..r (A a--4 (9 <br />Check if applicable: <br />- 7 G <br />0" <br />The interest described above belongs to a person related to me in the first degree by consanguinity <br />(natural kinship) or affinity (marriage). Relative's name and relation: <br />EXECUTED on De 6% 19 q c) (date). <br />Signature <br />Printed name "CA V- V- e , t Dv- <br />SWOR me on <br />Z°{ JANIS K. WOMACK <br />n'l• <br />i Notary Public, State of Texas <br />p1 My Commission Expires <br />'?rFOF?,*-?! AUG,13,2001 <br />.., <br />State of Texas <br />FILED on l 1 (date). <br />date). <br />City?6ecretary of the City of San Marcos <br />COSM Form 9/99