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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 ?'L? ?7M?1 U (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 />5-1-7 _W- 14o?q ins s4x-seo- <br />I acknowledge that my interest in this real property has a fair market value of $2,500 or more. <br />The vote or decision involving this interest in real property is on the ?k 2-00S (date) agenda of the <br />governmental body, and the subject matter of the vote or decision is as fol ows: <br />Check applicable: <br />The interest described above belongs to a person related to me in the first degree by consanguinity <br />(natural kinship) or affinity (marriage). Relative's name and relation: <br />EXECUTED on ? 9 Zy o S? 5d ), <br />Signature <br />Printed name <br />2GeJ <br />SWORN TO AND SUBSCRIBED before me on r < < (date). <br />JANI$ K. WCMACK ,J % /(?/?, c ?'i.. <br />pY PU i <br />Notary Public, State of Texas <br />My Commission Expires Nota Public <br />August 13, 2005 State of Texas <br />FILE6 on i ?k _I Z/11 (date). <br />City CI" of the City of San Marcos <br />COSM Form 4/02