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RECORDING REQUESTED BY AND WHEN RECORDED MAIL TO NAME F—City of .Colton ADDRESS Attn: City Clerk CITY a 650 N. La Cadena Dr. STATE Colton, CA 92324 ME SPACE ABOVE THIS LINE FOR RECORDER'S USE Notice of Completion CTC 1_130 (8-92) Before using this form, refer to recommended procedure stated on reverse side of this form NOTICE IS HEREBY GIVEN THAT: 1. The undersigned is owner of the interest or estate stated below in the properrtyry hereinafter described. 2. The full name of the undersigned is Thomas K. Clarke Uti ity Director Ci1iX of Colton 3. The full address of the undersigned is 50 N. La Cadena Dr. Colton, - 4. The nature of the title of the undersigned is: In fee (If other than fee, strike "In fee" and insert, for example, "purchaser under contract of purchase," or "lessee".) 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: NAMES ADDRESSES 6. A work of improvement on the property hereinafter described was completed on 10-20-9 7. The name of the original contractor, if any, for such work of improvement was Carni sh Construction C any Tnc (If no contractor for work of improvement as a whole, insert "none".) 8. The full name(s) and address(es) of the transferor(s) of the undersigned is (are): NAME(S) ADDRESS(ES) (Complete where undersigned is a successor to owner who caused improvement to be constructed) 9. The property on which said work of improvement was completed is in the city of unincorporated area county of San Bernardino , state of California, as is described as follows: Tnigt l I ratio , of 8" water line in a private road, west of Encanto Court 10. The street address of said property is Non (If no street address has been officially assigned, insert "none".) CITY OF COLTON Dated Signature of owner or Verification for individual owners. owner's agent Thomas K. Clarke, Utility Director STATE OF CALIFORNIA, County of The undersigned being duly sworn says: That he/she is the owner of the aforesaid interest or estate in the property described in the foregoing notice, or said owner's agent, FOR NOTARY SEAL OR STAMP that he/she has read the same, and knows the contents thereof, and that the facts stated therein are true. Signature of owner or owner's agent SUBCRIBED AND SWORN TO before me on Name (Typed or Printed) I Notary Public in and for said County and State