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1997 AGN OCT 21 I09
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1997 October 21 Agenda Packet
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1997 AGN OCT 21 I09
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RECORDING REQUESTED BY <br />AND WHEN RECORDED MAIL TO <br />Name V'k '.' <br />Street b �V . ��ts�-'+► <br />Address <br />City 8 Co L -T-p (•r) A <br />Zip <br />•� Z3 <br />I <br />SPACE ABOVE THIS LINE FOR RECORDER'S USE <br />Notice of Completion <br />NOTICE IS HEREBY GIVEN THAT: <br />1. The undersigned is the owner of theJ'terest or estate stated below in the property hereinafter described. <br />2. The full name of the undersigned is bY �.N STi �.. (NAME). <br />3. The full address of the undersigned is (o 5 1`•' l- - '��""t' ��� ��f2L�f'}-e—`lam <br />(NUMBER AND STREET, CITY, STATE, ZIP). <br />4. The nature of the title of the undersigned is <br />(E.G., owner in fee OR vendee under contract of purchase OR lessee OR OTHER APPROPRIATE DESIGNATION). <br />5. The full names and full addresses of all persons, if any, who hold title with the undersigned as joint tenants or as tenants in common are: <br />Names Addresses <br />5. The names of the predecessors in interest of the undersigned, if the property was transferred subsequent to the commencement of the <br />work of improvement herein referred to are (OR IF NO TRANSFER WAS MADE, INSERT THE WORD "none"): <br />Names Addresses <br />f <br />7. A work of improvement on the property hereinafter described was completed on Zo- 1 (DATE). <br />8. The name of the original contractor, if any, for the work of improvement was -W C. H QSSbt il�T�S <br />(NAME OF CONTRACTOR. OR NO CONTRACTOR FOR THE WORK OF IMPROVEMENT AS A WHOLE. INSERT THE <br />WORD "none"). [IF NOTICE COVERS COMPLETION OF CONTRACT FOR ONLY PART OF THE WORK OF IMPROVEMENT, <br />ADD: The kind of work done or material furnished was �A%l A r <br />(GIVE GENERAL STATEMENT, E.G., furnishing of concrete for sidewalks). <br />9. The property on which the work of improvement was completed is in the City of CD L-T`af County <br />ofC��c JZl�c.IZD�it`-O, State of California.'and is described as follows �`ll�� <br />(set forth description of jobsite sufficient for identification, using lyal description if Possible). <br />10. The street address of the said property is Z q Z C7 s ` F- �--` C <br />(NUMBER AND STREET, OR, IF THERE IS NO OFFICIAL STREET ADDRESS. INSERT THE WORD "none*%) <br />Dated: T• Z- 19 q-7. <br />(SIGNATURE) <br />Y N STt NE r' • Swf . `1 -2 -(TYPED NAME), <br />VERIFICATION <br />I, the undersigned, say: <br />I am the person who signed the foregoing notice. I have read the above notice and know its' contents, and the facts stated <br />therein are true of my own knowledge. <br />I declare under penalty of perjury that the foregoing is true and correct. <br />Executed at California, this day of 19 <br />(SIGNATURE) <br />
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