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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 -C4 -1-1-1 6014 V4 G (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 roperty is described as follows (give street address, or location and approximate size): <br />31/ j)raa!-qrA4(/ 1) oe 30 F A"t c.,v -1' A W"'," <br />l?.s .ss <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 `7a 41eU4 I, W 17, 2-00 1 (date) agenda of the <br />governmental body, and the subject matter of the vote or decision is a follows: <br />1FK b l i c IT e a.,r' - Pt/&v o ra,/ S o ?c-f'I•r,,? a S{' Sri ?n Val a r?o S ?1 ex? {-ru?.. <br />Check if applicable: <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 <br />(date). <br />Signature <br />T <br />Printed name !. <br />5 <br />FILED on <br />JANIS K. WOMACK <br />Notary Public, State of Texas <br />My Commission Expires <br />August 13, 2005 <br />me on <br />{ <br />No ry Public <br />5t to of Texas <br />(date). <br />r <br />4Q 6t 614 11 " <br />City f the City of <br />t (date). <br />Marcos <br />COSM Form 9/99