Certified Survey AffidavitMontana Department of
REVENUE
-IC0 Lf:�)Ny MONTANA
Survey-02
Rev. 2-03
Certified Survey Affidavit
Legal description and/or street address of proposed premise 1840 Hiqhwav 93 South
City Kalispell County Flathead
�' A nm 6-5 1-4, N`rklGh,' ❑County Surveyor, ❑City Surveyor, ❑Private
Licensed Land Surveyor, E2Local Government Official (check one) have the knowledge and the
authority to attest to the location of the premise known as Hilton Garden Inn / Blue Canyon Tavern
(trade or business name).
The location of this premise is; (check one)
❑ within the incorporated boundaries of Kalispell (city),
❑ within five miles of the incorporated boundaries of (city),
❑ more than five miles from the incorporated city of (city).
The distance was measured by radial survey method from the nearest corporate city boundary to
the nearest entrance of the proposed premise. Plat(s)/map(s) verifying the location that indicate
the points between which the measurement was made and the distance can be provided upon
request.
I declare under penalty of false swearing that the information in this document is true, correct and
complete.
8idnature
v
SEAL
Title
Onthis day of �V 20Ck,r1
Personally appeared 'k�r C. �A -� c�( �C ��, , lemm a e
Nota[y Seal Before me a Notary Public for the State of mac,, �
�� Notary Signature
1ti r"1L-- Print Name of Notary
My Commission ExpiresMonth, Day and Four Digit Year
507
r agu 1 vi 1
From: Todd O. Olson [toolson@GARLINGTON.COM]
Sent: Wednesday, July 12, 2006 2:54 PM
To: James Patrick
Subject: Survey Affidavit for Hilton Garden Inn in Kalispell
Attachments: 375143. pdf
Mr. Patrick:
Thanks very much again for extending yourself with this small, but important task for Bob and the Hilton Group.
This is very simple and straightforward. Please fax the form back to my attention at 523-2595, and if you could,
please return the original by mail to my attention at the address (P.O. Box) below. Feel free to keep a copy for
your records if you have the need. If you have any questions, please call me at 523-2500.
Best Regards,
Todd
ZODD OLSON PARALEGAL
GARLINGTON, LOHN & ROBINSON, P.L.L.P
ATTORNEYS AT LAW
199 W. PINE ST. - P.O. Box 7909
MISSOULA, MT 59807-7909
PHONE: (406)523-2500
FAx: (406) 523-2595
TOOLSON@GARLINGTON.COM
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7/12/2006