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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 Ce"1hl CVZ14 C, (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 />ISo7 1u,rKyiew Lane <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 l 2 Z "7002- (date) agenda of the <br />governmental body, and the subject matter of the vote or decision is as fol ws: <br />_T-k&" q- 2eZ0 n???c o? +VJ0 -W,*cf"S OL4 iaCA.VLf- +y MdCAI* 4kl;V-4 #4"11S 5 14 100f iv: ri0" <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 -ILA 1!1 2 2- , 2. o O 2 (date). <br />Signature <br />Su ra h 1?4 r Va 2 <br />Printed name <br />1 <br />SWORN TO A g 2J S TgED.lzefar n '(date). <br />,?u'?"r'"?"?JANIS K. WOMACK I <br />siF.. Notary Public, State of Texas ' <br />., My Commission Expires <br />Au9ust13,2005 Nota y Public <br />State of Texas <br />FILED on CD 'Y" (date). <br />t <br />City erk of the'/C ty of San Marcos <br />COSM Form 4/02