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1999 AGN AUG 17 I13
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1999 August 17 Agenda Packet
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1999 AGN AUG 17 I13
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RECORDING REQUESTED BY <br />AND <br />Name City of Colton <br />Street Attn: City Clerk <br />ctva 650 N. La Cadena Dr. <br />Zip Colton, <br />Colton, CA 92324-2897 <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 interest or estate stated below in the property hereinafter described. <br />2. The full name of the undersigned is THOMAS K r ARKS (NAME). Utility Director <br />3. The full address of the undersigned is City of Cultnn, 65(1 N. T f:arlPna nr_, <br />Colton, CA 92324-2897 <br />(NUMBER AND STREET. CITY, STATE. ZIP). <br />4. The nature of the title of the undersigned is ownpr <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 8-17-99 (DATE). <br />8. The name of the original contractor, if any. for the work of improvement was 1-aYflE' Christensen CO <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 r6l V1 11 i U of now water well <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 Ran BlJMn rdian County <br />of San 'Bernardino . State of California, and is described as follows: City of Gj)1ton'c <br />north Walnut NP.11 Field nrtb of Mill Strppt <br />(set, forth description of jobsite sufficient for identification, using.legal description if possible). <br />10. The street address of the said property is . None <br />(NUMBER AND STREET,, O.R. IF THERE IS NO OFFICIAL STREET ADDRESS, INSERT THE WORD "none".) <br />Dated: ,,19 CITY OF COLTON <br />(SIGNATURE) <br />THOMAS K. CLARKE, UTILITY DIRECTOR(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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