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CITY OF SAN MARCOS <br />DISCLOSURE AFFIDAVIT-REAL PROPERTY <br />STATE OF TEXAS <br />COUNTY OF HAYS <br />The undersigned member of the City of San Marcos -',In C11 (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 pro ert is described as follows (give street address, or location 9d approximate size): <br />i <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 r + I I (o Zva f (date) agenda of the <br />governmental body, and the subject matter of the vote or decision is s follows: <br />a A ,„ t - W v-.? t fen (.4 (O ?e <br />Check if applicabl: <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 6W,1`1 <? . Z y D 1 (date). <br />Signature > \ <br />/ - 77- 7- <br />-T <br />Printed name -d ?OJC .1 r. <br />SWORN TO A D SU % e o (date). <br />saJidx3 uoissiwwwJ,(W <br />$8x91 l0 9i%'ol19nd AJK0N • • <br />H3b'W0M '>1 SINVr yo+ ?' <br />t y Public <br />a e of Texas <br />FILED on r (date). <br />V J Z11 ?" City #retary of City of San Marcos <br />COSM Form 9/99