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PF 26-05
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Last modified
7/9/2026 12:18:43 PM
Creation date
7/9/2026 12:18:06 PM
Metadata
Fields
Template:
PDD_Planning_Development
File Type
PF
File Year
26
File Sequence Number
5
Application Name
4310 W 5th Ave
Document Type
Application Materials
Document_Date
7/8/2026
External View
Yes
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<br />Page 2 of 2 <br /> <br /> <br /> <br /> <br />Evelyn Jess-Fulwiler, trustee <br />Evelyn Jess-Fulwiler Family Trust established 05/19/2008, as amended and restated on August 16, <br />2024 <br /> <br /> <br />State of Oregon ) <br />County of Lane )SS <br /> <br />On , 2026 personally appeared the above-named Evelyn Jess-Fulwiler as a <br />trustee of the Evelyn Jess-Fulwiler Family Trust established 05/19/2008, as amended and restated on <br />August 16, 2024, who is known to me to be the identical individual who executed the foregoing <br />instrument and who does hereby acknowledge said instrument to be his voluntary act and deed. <br /> <br /> <br /> Notary Public for <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />John R. Adkisson, Manager <br />JACA Investments, LLC, an Oregon Limited Liability Company <br /> <br /> <br />State of Oregon ) <br />County of Lane )SS <br /> <br />On , 2026 personally appeared the above-named John R. Adkisson as the <br />manager of JACA Investments, LLC, an Oregon Limited Liability Company, who is known to me to <br />be the identical individual who executed the foregoing instrument and who does hereby acknowledge <br />said instrument to be his voluntary act and deed. <br /> <br /> <br /> Notary Public for
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