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[Approval Authority] in a form substantially as set forth in 

 (2) , below. Such notice shall provide notice in the public 

 record of the presence of a wetland or wetland buffer, the 

 application of this chapter to the property, and that 

 limitations on actions in or affecting such wetlands and 

 their buffers may exist. 



The applicant shall submit proof that the notice has been 

 filed for record before the [local unit of government] shall 

 approve any development proposal for such site. The notice 

 shall run with the land and failure to provide such notice to 

 any purchaser prior to transferring any interest in the 

 property shall be in violation of this chapter. 



(NOTE; The form for such a notice may shall be developed and 

 adopted by the local jurisdiction under appropriate administrative 

 guidelines or rule procedures) 



2) Form of Notice: 



WETLAND AND/OR WETLAND BUFFER NOTICE 



Legal Description: 



Present owner: 



NOTICE: This property contains wetlands or their buffers as defined 

 by [local unit of government] Ordinance. The property 



was the subject of a development proposal for 



ftype of permit) application # 



filed on rdate) Restrictions on use or alteration of the 

 wetlands or their buffers may exist due to natural conditions of 

 the property and resulting regulations. Review of such application 

 has provided information on the location of wetlands or wetland 

 buffers and restrictions on their use through setback areas. A copy 

 of the plan showing such setback areas is attached hereto. 



Signature of owner 



STATE OF WASHINGTON) On this day personally appeared before 



COUNTY OF ) me to me known to be the individual (s) 



described in and who executed the within 

 and foregoing instrument and 

 acknowledged that they signed the same 



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