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RfODRaNO smougsTm r <br />.0 rna R[ee A. ee <br />r <br />rtr CITY OF COLTON <br />notes Attn: City Clerk <br />or.. , 650 N. La Cadena Dr. <br />Colton, CA 92324 J <br />GPAOI ASOVI THIS UM Pwh RZODMM" trft <br />Notice of Completion <br />camervarim <br />using this form refer to m ommended procedure gated on reverse side of this form <br />NffrJCE IS HEREBY GIVEN THAT: <br />1. The undersigned is owner of the intermit or estate stated 6ekw in the 1rqeny hereinafter described. <br />2. The full name of the undersigned is.._Gar........................... F. Decker. _ Public .Mlli,ties,. Director <br />3. The full address of the undersigned ie- Ctty of La„Cadens Dr„ , Colton 92324 <br />4. The nature of the title of the undersigned is: In lee.... .......... _... .......... .. _.. <br />tit otherth.n fres mike "In for” end insert forreveple. "p.rehwr ander c,nuort d Nsnkew; we "leww".1 <br />S. The full name and full addresses of all lemons. if any, who hold title with the undersigned an joint tenant. or <br />a[ tenants in common a.: <br />NAAt6S .ADDRKSSE:N <br />.._...... .. __... _............................... _.................... ..... .... _._._._. ............. .___.._.._. <br />.. ..._... _. _.. _.......... ... ._....... .. .. ... .. ....................................... ..._._...._ ..._.._.. <br />.. _................ ... .......... ............ ........ .I-- ..............._..._ __............. .... _. _. <br />.......... ....... --- ...... ......... .. ............. ........ <br />. _._.......... _......... ...__.__.. <br />................................................................................................................................................ _..... _. _.......... <br />......_...............................................................................................................................................-...................___....__..._... <br />6. A work of improvement on the property hereinafter described was celnldeted on ........ 4n(5.c9.3..................__._........ <br />7. The name of the original contractor, if any, for such work of improvement ............ <br />. 97436...... _... ._ ......... .... ......... ....._._.... __.._ <br />fIf m renowrar for work ol imMae rhenl w • whole. in—t <br />8. The full namew and addresies) .(the uan.feror(s) of the undersigned is l.ml: <br />NA%IEIS) ADDRiSSf RSI <br />3-29-93 <br />Verification lot corporate ousters <br />STATE: OF CALIFORNIA. <br />C.." of ....................._.............._.... <br />rte error edJrc+s hes let. oRoialiv ewienN. inwn <br />Si[nnun of j}.......Y... S7.?.._Ci81df�3/Q............................ <br />.... n Mn[ nh R/C✓.R.f#::..5......./-.G.c.G.rv....... .....__....... <br />Gary Y Decker, Public Utilities Direc <br />SS. <br />.. _. _..._..._ _.._.__. .__loin[ J.Iv own <br />up: Thel Mie rhe..._ ..... ....._.._..........__........_......._....... --- ......... . <br />e( _....... __..._. <br />the rerronfwn do a ..tr the f ro,r, herein w n.,er of the <br />C <br />gndAr, i hernr e. filen in leeh. aneenr, Shemin M.'.: th t e <br />he ot,kn nd venliratnt on .Ise of weal reser. sol k.. he <br />ih.. were mid user[ .M lees.. rhe rents.. thereof. mJ Ih.l the <br />(w'l Ihrrcin n[1[J [R INe. <br />Si....... of der.. ... ..... ..._.......... ._..... ..._._...._.............._.___.............. <br />SURSCRIRgD AND SWORN TO I.N. we an <br />Title Order <br />t -u) <br />Py <br />MR NOTARY SIAL OR STAMP <br />