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'RECORDING REQUESTED BY <br />AND WHEN' RECORDED MAIL TO <br />Name C 1 T � d 1- C-0 <--T-C) FJ <br />Street (, 5-0 N <br />Address <br />city a C <br />State J <br />Zip <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 the i t[,crest or estate stated below in the property hereinafter described. <br />2. The full name of the undersigned is 1LATaDY A►N ST -1 I�Q E . NEi". T=IR• (NAME). <br />3. The full address of the undersigned is is J'—O N L& CAt»v`1.wA c;i2 . C o %-T'Oi-- J eta 3 P -4 - <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 />6. 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 />7. A work of improvement on the property hereinafter described was completed on OCTo%et- 141 Iah9.'7 (DATE). <br />8. The name of the original contractor, if any, for the work of improvement was Stye NI.oyN WNTi&A-- <br />(NAME OF CONTRACTOR, OR IF 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 -1 -1 psi <br />(GIVE GENERAL STATEMENT, E.G., furnishing of concrete for sidewalks). <br />9. The roperty on which the work of improvement was completed is in the City of CO L. i� N County <br />of, kb L �jB" 2tNAi2 Ai —0 ,, State of California, and is described as follows: e'KTE� k olz 7R* -t t' , 1N la - <br />(set forth description of jobsite sufficient for identification, Ising legal description if possible). <br />10. The street address of the said property is <br />(NUMBER AND STREET, OR, IF THERE IS NO OFFICIAL STREET ADDRESS, INSERT THE WORD "none".) <br />Dated: l�•' -ori. \ 19 97. <br />� (SIGNATURE). <br />�� tST1NE. NEt6rtd. Sc�S.�IZ • (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 />T 420 LEGAL (4-94) <br />