FORM:SHTSUBFIN – 2 5/11/10 Page 3 of 4
CITY OF LACEY
Community Development Department
PO Box 3400
Lacey, WA. 98509-3400
(360) 491-5642
DECLARATION OF SHORT SUBDIVISION
Known all persons by these presents:
That we, the undersigned, are the owners of the land described by the declaration do hereby declare the herein
division of land approved as Short Subdivision Number ___________________________ on the _______ day of
___________________, 20____, by the Planning Department, subject to the following covenants and conditions:
(1) That all subsequent deeds will contain provisions for private roads in the manner described herein.
(2) That all maintenance of any private road described by this declaration shall be by the owners of the parcels
having legal access there from or their heirs, assigns, or successors, unless and until such roads are
improved to the subdivision standards and dedicated to and accepted by the appropriate governmental
jurisdiction.
(3) That any private road will be subject to the further right of the grantor or his or her successor and of any
telephone, telecable, electric, gas, water or sewer company, public or private, to lay or cause to be laid and
the right of ingress or egress for the purpose of maintaining telephone, telecable, electric, gas, water or
sewer pipes, mains, or conduits across a described portion of such road.
(4) That with respect to any private road described by this declaration whether it remains private or becomes a
dedicated road, there is the additional right to make all necessary slopes for cuts and fills; and the right to
continue to drain said roads and ways over and across any lot or lots where the water might take a natural
course upon reasonable grading pursuant to improvement for dedication of the roads and ways shown
herein. Following reasonable grading pursuant to improvement for dedication of the roads and ways shown
herein, no drainage waters on any lot or lots shall be diverted or blocked from their natural course so as to
discharge upon any public road rights-of-way or to hamper proper road drainage.
(5) That additional covenants, easements, and restrictions, if any, solely for the benefit of the grantor, and his
or her heirs, successors and assigns enforceable only by such persons, are attached hereto either as exhibits
_____________________ or as previously recorded under auditor’s file number _____________________
and incorporated by reference as though fully set out herein.
(6) We, the undersigned, hereby dedicate to the use of the public forever, all streets, avenues, places, and sewer
easements or whatever public property there is shown on the attached short plat and the use thereof for any
and all public purposes not inconsistent with the use thereof for public highway purposes; also, the right to
make all necessary slopes for cuts or fills upon the lots, blocks, tracts, etc., shown on this declaration in the
reasonable original grading of all streets, avenues, places, etc. shown thereon.
(7) We, the undersigned, hereby indemnify the approving governmental agency for all costs or damages
including attorney’s fees incurred by or charged against that agency as a result of this signatory not being
the owner or the property being adjusted.
That, but for the exception contained in paragraph (7) above, these covenants are for the mutual benefit of the
grantor and his or her heirs, successors and assigns and are for the further purpose of compliance with the
resolutions and regulations of the appropriate local governmental jurisdiction, and the local government and such
persons are specifically given the right to enforce these restrictions and reservations by injunction or other lawful
procedure and to recover any damages resulting from such violation.
Dated this ____________ day of ____________________________________, 20______
