<br /> Consent to Annexation <br /> <br /> <br />Consent is hereby given to the annexation by the City of Eugene, Oregon of the <br />following described real property: <br /> <br />Map and Tax Lot: Address: <br /> <br />Legal Description: <br /> <br /> <br /> <br />In the corporate limits of said city, which is owned by the undersigned <br />DATED this day of , 20 . <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />STATE OF OREGON ) <br />)ss <br />County of ) <br />On this day of , 20 , before me, the undersigned, a <br />notary public in and for the said county and state, personally appeared the within‐named, <br /> , <br />who is known to me to be the identical individual described herein and who executed the same <br />freely and voluntarily. <br /> <br />Seal: IN TESTIMONY WHEREOF, I have hereunto set <br />my hand and seal the day and year last above <br />written. <br /> <br /> <br />Notary Public for Oregon <br />My Commission Expires