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ASLS 91-131 TR A VIEKODA BAY - Property Cardowns �_ /Ly..t� 4(<•d t_.00i.r.il- , Mailing Address 1�'�t? �C . %['% Property Address° e4r, :tom-. - k Permits Observed Physical Condition BUILDING TYPE AND USE Exterior 4. EXTERIOR 1 Interlo 6. INTERIOR (Continued) Foundation 7. Floors (Continued) � Single , Double ,Other —# Stories _Attk Finish — Basement — Frome- - Concrete Block —Log !k 1. FOUNDATION - Concrete Thick ___Conc. Block W- ood Posts _Skids W ood Sills Concrete Block _3hoathing rind _Building Paper _Insulation . rind _Stucco ___Siding Kind — Shakes ____Brick's* —Log Slab _._,_Log Siding —Metal _Plywood Trim Kind Grade _P • G Floor Basement 10 Floor 2nd Floor 3rd Floor Attic Total # Number Rooms Number Baths FINISH Wood Concrete Bo* Uving Room Bed Room B. HEAT 5. ROOF 2 BASEMENT _Partial 5 F. _Full — C i ibbed _Concrete ,Outside Entrants _Rec. Room Size _Living Area _ Size ._Fin Walla Kind _Fin Floor Kind _Fin Ceiling Kind —Fiat _Gable _Hip __.Other _Kind Shingle Shakes Composition St _Shingle ��.Insulation _ Kind —.—Tar Paper Metal Kind —Built-up _Other Grade of Floor Plan .___P �G Ceiling Height Basement Floor _ 2nd Floor _Attic 6. INTERIOR •RAME Walls a c Bracing Roof o c Floor o c Coiling o e Other _Insulation Board __Plasterboard ____—Plaster _Masonry _____Wood Paneling _Plywood _Finished Unfinished _Open. Stud Grads of Kitchen _P ___A G — Oven Built -in — Range Built -in Both Room Finish _Attic Stairway _Attic Unfinished Attic Useful _Number Dormers Shed Type . _Gable Size Size _Oil Furnace Coal Stoker ___Hot Water _Hot air Forced Radiant -Space Heater _. Kind __Floor Furnace _Number of Chimneys _Kind NUMBER OF FIREPLACES _Basement _1st Floor Type 9. PLUMBING (Continuos!) Water Source Sewer Source 10. ELECTRICAL r _Wired Grade —220 Service TOTAL GRADEI 11. GARAGE • 9. PLUMBING 7. FLOORS Tubs__w /shower •_# Toilets __# Basins __# Kitchen Sinks — _# Shower Stalls- _# Hot Water Tanks # Gallons —Kind 1st Floor Bridged Post Size o c Beam Size - -_oc 2nd Floor _ cot oc Grade 12 PORCHES 13. YARD IMPROVEMENTS _# Laundry Trays _ TTotal Number Fixture Other Buildings Area Floor Roof Interior Heat Plumb Unit Cost Adds & Deducts Reps. Cost Age Condition Building Cost BUILDING VALUE CALCULATION OPERATIONS AND PROCEDURES BUILDING AREA CALCULATION Item No Area or Quantity Unit Cost Total Performed By Date r Inspection Classification Square Feet — Ground Area Floor or Part • Width Length Calculation LReview DEPRECIATION AND OBSOLESCENCE DEPRECIATION ADDITIONS AND DEDUCTIONS a. Effective Age Depreciation b. Observed Physical Condition Notes* 1 c. Total Depreciation (a .4 b) d. Net Condition (100 - Perimeter Scale 3'4" - Ft. OBSOLESCENCE • Ov•rimprovsment f. Underimprovement g. Other h. Net Condition (100 • (.4f +g) t. FINAL NET CONDITION (d * h) SUMMARY OF APPRAISED VALUE Principal Building Appraisal Other Principal Buildings Appraisal Total Replacement Cott Accessory Building* Appraisal Total #gliding Appraisal Cost Conversion Factor Total Land Apratso) Adjusted Replacement Cott* TOTAL APPRAISED VALUE • - • KIBS217711 • Other Description: l } I , : a ,.54e/g/4 /00//o T /J / /Xt9i1A Phu Size: Area /6,10 Use Zone: Valuation Code: Land Use: VAC, Unit Price: INFLUENCES: PLUS MINUS Depth Land B Bldgs. T Topography ‘ QGO 1 Irregular Modification — ) ) iyal S- View D icict 1 - 1 Drainage — ! !R, zoo Physical Barriers Access Corner 4/'J'43 T ThummQl .-7 I --4— O Water j at / Sewer -1994 TA u rm1'ar.e 1 +.--70 F, CirCI 8 Sidewalk - o - 3 /too 1 Paving Curb & Gutter Other TOTAL Net + ( —) Year of Valuation: Basic Land Value Plus or (Minus) Factors Net Price of Land Remarks: /1 /4 f 2r- 9,4-/? i LAND VALUE YEAR O OWNER ASSESSED VALUATION T T REASON Land B Bldgs. T Total ‘ QGO 1 L — ) ) iyal S- D icict 1 - 1 jq1 boo — — ! !R, zoo 4/'J'43 T ThummQl .-7 I --4— O OA ion - - 6 -- a at / 14-565 9/-/3/ -1994 TA u rm1'ar.e 1 +.--70 F, CirCI 8 1 - o - 3 /too 1 C;,fry{ —&,(t er .E,„1 %L Ail°I /p'1 S 12.1 1 KIBS21 ?700 PLACE PICTURE HERE 1.28') 59.53' ,erg—_ 659.99' N 89° 43' 44" W (N 89° 46' 45 "W) REC W s N N 8 1 rJ 0 ASLS 91 -131 0 TRACT A 16.10 AC. ~1 PUBLIC ACCESS AND UTILITY EASEMENT 2,239.31' ( 2,239.36') REC 50' 1,319.97' SECTION LINE EASEMENT (SEE NOTE 4 ) 0 8 25' 5 89°43'44" 15.4 21 20 4\ 19 \5 in jun 3\ �1 18 16 15 chcrl z � 1 1 -41:3 0 In 00 0 §8 co cn 659.99' 0 c0 r> ASLS 89 -150 TRACT A O 0 0 c0 c0 SitrE5-fi 8--- — 659.98'- .1 O c0 Z its co ASLS 89 -150 IS UNAPPRC THIS DATE S 89 °43'44 "E 0 14 13 VIEKODA BAY MEANDERS I.N 60 °11' 15 "W 236.06' 2.N 51 °30'26 "'N 199.34' 12 1I ASLS 91 -131 TRACT B 12.67 AC. 100' RETENTION LINE 10 'S e4y as Qn PUBLIC Ac Ess AND . D UTILITY EASEMENT _2 25' ASLS TRA( 8 7 6 KIBS217702 105.62' 4 ii Property Review Worksheet PID: q1-1 Owner: J noe+(,no -E,1 oM S Address: T AS ,351Al TL /t t/ INSPECTION DATE: 5- el-a0 PERMITS: YES ❑ NO ❑ IF YES, WHAT IS THE PERMIT FOR: IMPROVEMENT LAND j� CONDITION: TOPOGRAPHY: 9 u n L i7 lX_. Lf ROOF: ACCESS: eZO , SIDING: VIEW: WINDOWS: OCEANFRONT: Yes ❑ No ❑ FOUNDATION: FLAG LOT: Yes ❑ No ❑ IRREGULAR LOT: Yes ❑ No ❑ EXTRAS WOOD STOVE: \YES ❑ NO ❑ DECKS: ACC. BLDG'S: NOTES: TvA * Q -3d NDc •at(1L l Asps g 1 131 OTHER He He a LA ad f�C(e55 Jr��12u \;PdC(f\ 1)6-Tim 4 \`'I irm_c(,I,(MO Ali. (SKETCHES ON BACK) SL Lf L� n � 2-,8S v DEPARTMENT OF NATURAL RESOURCES / DIVISION OF LAND December 17, 1992 ROY A ECKLUND ECKLUND SURVEYING PO BOX 3174 KODIAK AK 99615 File: ASLS 91 -131 GSC 625 Subj: Filed Plat Dear Mr. Ecklund: WALTER J. NICKEL, GOVERNOR LAND & RESOURCES SECTION 3601 C STREET P.O. BOX 107005 ANCHORAGE, ALASKA 9951 0-7nna PHONE: (907)762- j This is to notify you that ASLS 91 -131 GSC 625 has been filed in the Kodiak Recording District under Filing No. 92 -38 and is on file in this office. The plat was filed on October 20, 1992. One print of the plat is included for your records. Sincerely, L George A. Bernard Statewide Platting Supervisor GAB:RM:na Enclosures cc: Survey Tracking & Monitoring Borough: Kodiak Island DEC: Southcentral ADL Nos.: KIBS217701 romulo:surv£ld. 4 r. ■4 1.. irlif..i. pi:{:f'f t, l,' ri. P. PARCEL ID # R5600010212 OWNER THI1EL, SANDRA POSSESSORY INTEREST WORKSHEET LEGAL DESCRIPTION T26S R25W T/L 1 -04 AREA DESCRIPTION SEIBA POINT - VIEKODA BAY TERM fO _ TERM REMAINING /Q , AS OF CAP RATE (special note: refer to lotus 1 (poss. int.) for calculations) FEE SIMPLE VALUE LAND VALUE 35 f 0770 IMPROVEMENTS VALUE TOTAL 20 REVERSIONARY VALUE -- t0% 3 5 �3 I, Sun LAND VALUE IMPROVEMENTS VALUE TOTAL (10s eZ &s.) POSSESSORY INTEREST VALUE LAND VALUE IMPROVEMENTS VALUE TOTAL /9( aZ, 1,5 COMMENTS: KIBS217703 NLM1270P DEPARTMENT OF NATURAL RESDIRCES 06/04/91 10:',8:`79 ?IL: DL 224814 CASE FILE ABSTRACT CUSTOMER-ID: 12955" SANDRA THUMMEL PO BOX 1281 KODIAK AK 99615 :::ASP TYPE: RESIDENTIAL HOMESTEAD DATE INITIATED: 0A-02-19P9 CASE STATUS: PURCHASE AP!N RECD TOTAL ACRES: 13.000 CASE SUBTYPE LIMITD STKNG-PREDES FILE LOCATION: SCRO LAND CONVEYANCE ;FFICE OF PRIMARY RESPONSIBILITY: ECDO ANCHORAGE AREA !AST ACTION: 04-;t3-i991 SUMMARY RECORD DATA CHANGED/CORRECTED 026S R 025W S: 01 70TAL ACRES: 1 CASF ACTIONS ******************:*if:****-K 06-02-1989 PERMIT APPLICATION RECEIVED RELATION - NFW 10 OWNER RELATTc1N - OID DISPOSAL NAME APPLIrANT'.7 CID NU1P1:R THUMMEL. SANDRA OLD CID NUMRFR KUPREANOF PENINSULA LOCATED ON THE NORTH SHORE OF KODIAK ISLAND APPROXIMATELY D MILES WEST OF PORT BAILEY CANNERY, N)-02-1967 PREDFSIGNATFD PARM PARCEL MUMBU, 10247 PREDESIGNATED NON-AGRICULTURAL HOMESTEAD ENTRY- 1.17-')A-1989 PERMIT ISSUED EFFECTIVE DATE 6r7-71-1 9 Sr,' EXPIRATION DATE 07-5-1994. STATUZ 20 PERMIT ISSUED HOMESTEAD ENTRY PERMIT ISSOFD UNDE R AS 3L7,09 FOR PARrFL LICATED WITHTN KUPREANOF PFNINSULA V..» TD NON-AGRTCULTURAL AOMESTEAD :?9-71-1989 ELECTTnN TO PURCHAE RECEIVED STATUS 12 PURCHASE AF'LN REED OPTION A OR B A 10-70-19P9 FLETTON TO PURCHASE APPROVED APPRAISED d:'PRAISAL REPORT r APRO2367 DOLLAR MARKET VALUE 13000 DAT'? OF APPRAISAL 07-7A-1989. THIS APPRAISAI. RFPORT IE TO SESC AS BASIE FOR APPRAISING ALL OTHER KUPREANOF PEN. HOMESTEAD PARCELS, N-71-199i COMMi=TS COPY OF APPRAPZA1 AT SCRn 1/30/9:_ !".:ASEFILE FORWAR1)ED TO CONTRACT ADMIN FOR CONTRACT PRFPARATION 1/71/91. SUMMARY RECORD DATA CHANGED/CORRECTED. UNIT CODE CONTRACT ADMIN 02-14-1991 COMMENTS DOD jr SENT PROFS MFSEAGE TO '4RSORS+,L NR7.:DDA, MRSCLPE ADVIEING LFGAL DESCRIPTION 7f NOT ADEOUAT''' EnR CONTRACT/DISPOSAL_ CO: JOHN W.7!..,7-.. rAU FOI:TURN'-'7D FILE 7;1 BARBARA GARMER, SCRO/LE:. DEO:ST:-:N mDF AND LEGL DESCYPTInN AP7DUPTE FOR A C':.:NTRACT. RFCCRY: :';':-!Ng-:77)/Cr.?RRECTI:D • -' • EIBS217704 • NLMi278P FILE: ADL X DEPARTMENT OF NATURAL RESOURCES 86/84/91 18:28:29 224814 CASE FILE ABSTRACT �*********************4** LEGAL DESCRIPTION PAGE: 2 ************************ FOR 4.:IPPi.ICATIO@ LECAL DESCRIPTION 86/82/1989 SECTION 1: Ei/2NW1/4NWi/4 ABQVE MEAN HIGH WATER. TOWNSHIP 26 SOUTH. RANGE 25 WEST. %EWARD MERIDIAN, CONTAINING 13 ACRES. MORE OR LESS, ISSUED LEGAL DESCRIPTION 07/26/1989 SECTION 1: E1/2NW1/4NW1/4. EXCLUDING ALL UPLANDS WITHIN 188 FEET OF THE MEAN HIGH TII)E MARK OF VIEKODA BAY AND ALL TIDE AND SUBMERGED !ANDS. LOCATED WITHIN SECTION 1, TOWNSHIP 26 SOUTH, RANGE 2r, WEST. SEWARD MERIDIAN. CONTAINING 13 AGREE', MORE OR LE2%, ACCORDING TO THE ATTACHED PL��^ JUBJErT TO: � 50^FOIT WIDE :iECTION LINE EASEMENT ON EACH SIDE OF THE SECTION LINE` TH2% IS RESERVED UNDER AS 19.10`818 TO THE SMITE OF ALASKA PUBLIC HIC;HWAY%^ 2';�*-OOT WIDE =TB, IC ACCE%% AND UTILITY EASEMENT DEDICATED TOWARD THE TNTERIDR OF THE PARCEL FROM ALL LOT LINES, RIBS217705 STATE OF ALASKA ADL 224814 DEPARTMENT OF NATURAL RESOURCES DIVISION OF LAND AND WATER MANAGEMENT Date Issued July 26. 1989 P.O. Box 107005 Anchorage, Alaska 99510 -7005 Area Name Kupreanof Peninsula Parcel # 10247 Homestead Entry Permit Subject to the requirements of AS 38.09 and 11 AAC 67.138 - -11 AAC 67.155, this homestead entry permit. for the homestead described below is awarded to, and entry upon the homestead is authorized for: Name of Permit Holder Sandra Thummel Mailing Address PO Box 1281 City Kodiak State AK. Zip Code 99615 Legal Description: ASLS Block Lot Tract Further Described As: Section 1: E1 /2NW1 /4NW1 /4, excluding all uplands within 100 feet of the mean high tide mark of Viekoda Bay and all tide and submerged lands. Located within Section(s) 1 , Township 26 South Range 25 West Seward Meridian. Containing 13 acres, more or less, according to the attached plat. 10- 4000(a) (Rev.4 /89) Page 1 of 5 KIBS217706 1. RIGHTS GRANTED. This homestead entry permit entitles the permit holder to enter upon the homestead described above and occupy, survey, and improve it, in accordance with the conditions of this permit, in order to qualify for patent under AS 38.09. 2. ASSIGNMENT OR OTHER TRANSFER. This homestead entry permit may not be assigned, conveyed, or in any other manner transferred except upon approval of the Department of Natural Resources under the circumstances set forth in AS 38.09.030(c) and 11 MC 67.153. A request to transfer this homestead entry permit must be made in writing to the regional office noted in section 20 of the permit and must be accompanied by appropriate documentation that the statutory conditions for transfer have been met. An assignment, conveyance, or other transfer of this homestead entry permit (except as allowed above) is automatically void and constitutes a substantial breach of the conditions of this permit. 3. LAWFUL USE OF HOMESTEAD. The permit holder shall use and occupy the homestead in compliance with all applicable laws, regulations, ordinances, and orders, including those of a building or zoning authority and those relating to pollution and sanitation control. The permit holder may not permit any unlawful occupation, business, or trade to be conducted on the homestead. 4. PROPER LOCATION. The permit holder is responsible for proper location of the homestead and all homestead improvements. If any part of the homestead (whether improved or unimproved) is on land that was not open to homestead entry at the time of staking, the permit holder is not authorized to use or to be granted the part improperly entered or improved. 5. MAINTENANCE. The permit holder shall maintain the homestead in a reasonably neat and clean condition and shall take all prudent precautions to: (1) prevent or suppress pollution of the land, ground or surface water, or air; (2) prevent or suppress grass, brush, or forest fires; and (3) prevent erosion or destruction of the land. The permit holder may not manage, use, or permit the use of the homestead in any manner that results in destruction or deterioration of the homestead or adjacent property, including by neglect, abuse, destructive, use, or mismanagement. 6. AUTHORIZED USES OF HOMESTEAD. (a) This permit authorizes the permit holder and members of the permit holder's household to utilize the homestead for residential and agricultural purposes and for incidental home business uses that employ only members of the permit holder's household (such as child care, home crafts, or sale of items produced on the homestead); to build a permanent single - family dwelling and incidental improvements such as roads, fences, garage, barn, woodshed, and other outbuildings; and to install and use temporary quarters during construction of the permanent dwelling. The permit holder may also use gravel on the homestead as needed for building homestead improvements and may clear and use timber on the homestead as needed for residential or agricultural uses. (b) Any other use of the homestead requires the written authorization of the Department of Natural Resources. 7. ENTRY ON ADJACENT LAND. The permit holder may not enter upon adjacent state land for the purposes of obtaining material including, but not limited to, timber, coal, gravel, or peat, nor may the permit holder use adjacent state land for the disposal of solid or liquid waste or for the construction of any improvements, roads, driveways, or landing strips, without the written authorization of the Department of Natural Resources. 8. BRUSHING BOUNDARIES; AFFIDAVIT. (a) This section does not apply if the homestead is described by aliquot parts or as a lot of record. (b) If the homestead is described in this permit by metes and bounds, no later than 90 days after issuance of the permit, the permit holder shall brush the homestead's boundaries (or otherwise mark its boundaries, if allowed by the Division of Land and Water Management) as required by 11 AAC 67.145. Within 105 days after issuance of the permit, the permit holder shall submit to the division a 10- 4000 {a) (Rev.4 /89) KIBS217707 ADL 224814 Page 2 of 5 signed and notarized affidavit stating that the permit holder has complied with the brushing requirement. 9. HABITABLE DWELLING. Within three years after issuance of the homestead entry permit, the permit holder shall submit proof of completion of a habitable, permanent dwelling on the homestead as required by 11 AAC 67.148. However, under the circumstances set out in AS 38.09.040(a)(3), the permit holder may file a request within the three -year period for an extension of time within which to complete the dwelling. If the permit holder fails to comply with this section within the time required or within an extension of time granted by the commissioner, the homestead entry permit automatically expires. • 10. SURVEY. (a) This section does not apply if the permit holder paid a survey deposit to the Department of Natural Resources before the homestead entry permit was issued. (b) Within five years after issuance of the homestead entry permit, the permit holder shall submit a plat of survey meeting the requirements of 11 AAC 67.146. If the permit holder fails to comply with this requirement, the homestead entry permit automatically expires. 11. ELIGIBILITY FOR PURCHASE OR PATENT. (a) Within two years after issuance of the homestead entry permit, the permit holder may apply to purchase the homestead under AS 38.09.090(a) if he or she has fulfilled all requirements of the permit (specifically including early compliance with section 10) except for section 9. (b) Within five years after issuance of the homestead entry permit, the permit holder may apply to purchase the homestead under AS 38.09.090(b) if he or she has fulfilled all requirements of the permit. (c) Within five years after issuance of the homestead entry permit, the permit holder may request patent to the homestead under AS 38.09.050 if he or she has fulfilled all requirements of the permit and in addition has resided and lived on the homestead for at (east 25 months. The request for patent must be accompanied by the information required by 11 AAC 67.149. (d) If the permit holder fails to complete the requirements to purchase the homestead under AS 38.09.090 or to obtain patent under AS 38.09.050 within five years after issuance of the homestead entry permit, the permit automatically expires. 12. REVOCATION FOR BREACH. This homestead entry permit may be revoked by the commissioner of the Department of Natural Resources if the commissioner determines that the permit holder has substantially breached a condition of this permit or a requirement of AS 38.09 or 11 AAC 67.138-11 AAC 67.155. Such reasons for revocation include, but are not limited to, falsification of information on or in support of the homestead entry permit application or of any information filed under the homestead entry permit. 13. PROCEDURES UPON REVOCATION 011 EXPIRATION. If the homestead entry permit is revoked for breach or automatically expires, a written notice will be sent to the permit holder. The permit holder may appeal within 30 days in writing to: the Director, Division of Land and Water Management, P.O. Box 107005, Anchorage, Alaska 99510 -7005. If no appeal is filed within 30 days, the decision is final. The permit holder has 60 days after the date the decision is final to remove his or her improvements from the homestead in compliance with AS 38.05.090. Improvements and personal property remaining on the homestead after that time will be managed under AS 38.05.090. 14. TAXES AND ASSESSMENTS. The permit holder shalt pay all taxes and assessments accruing against the homestead subsequent to the issuance of the homestead entry permit. 15. GENERAL RESERVATIONS. (a) This homestead entry permit is issued subject to all valid existing rights, including easements, rights -of -way, reservations, or other interests in land, in existence on the date the permit was issued. 10- 4000(a) (Rev.4 /89) KIBS21'770S AOL 224814 Page 3 of 5 (b) If the homestead borders or includes one or more section lines, the commissioner hereby expressly reserves an easement 100 feet wide and centered on the section line or lines. (c) The commissioner also reserves a public access easement extending 50 feet upland from the mean high tide line of coastal waters and 50 feet upland from the ordinary high water mark of all streams, lakes, and other navigable and public waters adjacent to or within the homestead. (d) The state reserves, for itself or to grant to third parties, all minerals that may be in or on the homestead, and the right to enter onto and use the homestead in any way reasonably necessary or • convenient to explore for, develop, and remove those minerals, as set out in AS 38.05.125; however, the reserved mineral rights may not be exercised until provision is made under AS 38.05.130 to pay for all damages that the homestead entry permit holder may sustain due to the exercise of those rights. (e) If the homestead is within a municipality, in addition to state requirements it is subject to applicable municipal platting requirements, including easements and other dedications. 16. ADDITIONAL RESERVATIONS BEFORE PLAT OF SURVEY APPROVED. Before the plat of survey is approved, and after consultation with the permit holder, the commissioner may reserve for the use of the State of Alaska, and grant to third parties, easements or rights -of -way of unlimited size across the homestead if it is determined to be in the best interests of the state to do so. 17. SPECIFIC RESERVATIONS. The commissioner reserves the following specific interests that are in addition to and do not diminish any general reservation to the state that may be stated elsewhere in this permit: Subject to: A 50 -foot wide section line easement on each side of the section line. This is reserved under AS 19.10.010 to the State of Alaska for public highways. A 25 -foot wide public access and utility easement dedicated toward the interior of the parcel from all lot lines. 18. SURVEY DEPOSIT. (a) This section does not apply if the permit holder is required to submit a plat of survey. (b) Upon completion of the requirements for purchase or patent of the homestead, the permit holder must remit the balance due of the total survey costs, as determined by the commissioner. The total survey costs for this homestead are $ 260 (c) If the amount due exceeds $1,000, installment payments with interest may be arranged at the time of application for purchase or patent. if the amount due is $1,000 or less, it must be paid in full upon notification. 10- 4000(a) (Rev.4 /89) KIBS217709 ADL 224814 Page 4 of 5 19. IMPORTANT DEADLINES. The homestead entry permit is subject to automatic expiration for failure to meet the required deadlines. (a) Brush Boundaries: N/A Submit Brushing Affidavit: N/A (b) Request for Two -Year Purchase: 7/25191 Submit Application: 7/25/91 Survey Homestead: N/A (c) Request for Five -Year Purchase: 7/25/94 Submit Application: 7/25/94 Submit Proof of Completed Dwelling: 7/25/92 Survey Homestead: N/A (d) Request for Prove -Up and Patent: 7/25/94 Submit Application: 7/25/94 Submit Proof of Completed Dwelling: 7/25/92 Submit Proof of Occupancy: 7/25194 Survey Homestead: N/A 20. NOTICE. This permit is administered by: 1Southcentral Region P.O. Box 107005 Anchorage, AK 99510 -7005 (907) 561 -2020 r1 L Northern Region 3700 Airport Way Fairbanks, AK 99709 (907) 451 -2700 Southeast Region 400 Willoughby Avenue Juneau, AK 99801 (907) 465 -3400 The permit holder is responsible for maintaining a current address with the division during the life of the permit. Any notice or other correspondence to the permit holder is sufficient if sent by U.S. certified mail to the last address that the permit holder furnished to the regional office noted above. All correspondence from the permit holder (except as provided in section 13 of this permit) must be addressed to the regional office noted above unless the permit holder is advised otherwise in writing. All correspondence must reference the permit's ADL number. �zt For the Commissioner Date 7/-v6/ STATE OF ALASKA ) ) ss. 3ELP Judicial District THIS IS TO CERTIFY THAT ON THIS a(4;th day of 19 S9 , before me personally appeared e -eit is_ fl orr — ✓%a_ - .e d of A1L n"]g4 , of the ■ Division of Land and Water Management of the Department of Natural Resources of the State of .Alaska, who executed the foregoing homestead entry permit and acknowledged voluntarily signing the same: 10- 4000(a) (Rev.4 /89) 1, i '' Public � ..;..� My commission expires: 6/ /F93 ' • Notary P u bl' in and for the State of Alask a KIBS217710 ADI 224814 Page 5 of 5