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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 C.G`+1, ( 0 L-k ri C- I(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 />perty is describ# as follows (give street address, or location and approximate size): <br />3 <br />3, <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 N Ve m foe v- 15, 2001 (date) agenda of the <br />governmental body, and the subject matter of the vote or de ision is as follows: <br />q - ?,A J-n w e s?' 5A11 YV t R' C-cis ?-v? ?n a ,r.+ ?'vyt <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 1J V Vt4,1 (0?ir 157" 7-00 l _(date). <br />Signature <br />Printed name <br />SWORN TO AND SUBSCRIBED before me on <br />-01 .;?P..JAN19 K. WOMACK ? <br />?t Notary Public, State of Texas <br />My Commission Expires Not y Public <br />"Ja',?; of ;EO°', August 13, 2005 <br />State of Texas <br />FILED on (date). <br />01 (date). <br />City Ai*r;?fbry of the City of San Marcos <br />V'4'? <br />COSM Form 9/99