LAND TITLE ACT

FORM C

msechon 219,.K1)

Province of

British Columbia

GENERAL INSTRUMENT -— PART | (dias area for Land Tile Office ase) Page 1 ol 15 pages
1 APPLICATION: (Name, address, plane nuaber and signature of applicant. applicants solicitor ar agent)

JOSEPH W. TARNOWSKI, FREEMONT HOLDINGS LTD.
Number 10~9500 Erickson Drive

Burnaby, British Columbia, V3J 1M8

( 604 ) Gh4m A494 9 venHdine of applieunt, applicants sotientar ar agen

« ewe peermaren oy amt . mene on

PARCEL IDENTIFIER(S) AND LEGAL DESCRIPTION(S) OF LAND
(PI) (LEGAL DESCRIPTION)

SEE SCHEDULE ATTACHED

NATURE OF INTEREST: * DOCUMENT RELERLNG 1. PERSON ENTITLED TO INTEREST
DENCRIPTION (suige aad paragraph

STATULORY RIGHT OF WAY ENTIRE INSTRUMENT THE CORPORATION OF THE CITY
OF PORT COQUITLAM

vem eee . ON eames comms mee mst tamed oe we

I TERMS: Part 2 of this iastrument consists of (select one only) -
(4) Mile Standard Charge Terma (_] D1, No,

thy xpress Charge Terms [x] Annexed as Part 2

(u} KReleiuse There is ao Part 2 af thin instrament

N selection of GH includes any additional or modified lermys referred to in fen Tor ing schedule ainexed to this instrument HW (c) is selected, the

vharge deseribed in fem 3 is released or discharged as a charge on the lind deseribed in len 2.

* TRANSFEROR(S):* EREEMONT HOLDINGS LTD.

TRANSFEREE(S): (ineduding postal address(es) aad postal code(s ti"
THE CORPORATION OF THE CITY OF PoRT COQUITLAM
2580 Shaughnessy Street

Port Coquitlam, BC V3C 248

ADDITIONAL OR MODIFIED TERMS: ©

NOT APPLICABLE

NS ENECUTION(S 4% This instrament ercales, assis, modifies, enlarges, discharwes ar koverns (he proociy OF the citerest(s) described in ttear 3 and
the Thuisterorts) and every other sigaiory agree lobe bound by tis instrument, and acknowledge(s) receipt al a true copy of the filed standard charge

fortis, Way, .
Execution Die

Officer Siznature(s) Y M 1) xrlyGies) Signature(s)
92 FREEMONT HOLDINGS LTD. by its
authorized signatory

BRIAN DE LA MOTHE

G. ROSS ELLIOTT

nutury public or other person authorized by the Evidence
Fes sel out in Pact 5 of the Land Title Act as they pertain
“Hf space isullicient, cater “SEG S Wschedule in Form &, i

rei space msulficient, continue ekecudions ot mige(s) in Fonn D.
Hrieers d Staaonsen Lid

OFFICER CERTIFICATION: Your SUN ULUE CONNTIULES it rel Cotnnit
VRS. B.C. 1979, 6 T16. to take altidavits for ase i British Colum

ls The execubou of tis imstrumeat

KEV OA