1999 AGN OCT 05 I05 - Laserfiche WebLink

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RECORDING REQUESTED BY AND WHEN RECORDED MAIL TO Name City of Colton Street Attn: City Clerk Address City a 650-N. La Cadena Dr. State Colton, CA 92324-2897 Zip SPACE ABOVE THIS LINE FOR RECORDER'S USE Notice of Completion NOTICE IS HEREBY GIVEN THAT: I. The undersigned is the owner of the interest or estate stated below in the property hereinafter described. ?. The full name of the undersigned is Thomas K. Clarke (NANIE). 3. The full address of the undersigned is Cid Of COI tnn Uti 1 i tyDpnartment 65n North La Cadena Drive Colton CA g7R94-9847 (NUNIBER AND STREET. CITY. STATE. ZIP). 4. The nature of the title of the undersigned is Utility Director (E.G., owner in fee OR vendee under contract of purchase OR lessee OR OTHER APPROPRIATE DESIGNATION). 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. The names of the predecessors in interest of the undersigned, if the property was transferred subsequent to the commencement of the work of impruvement herein referred to are (OR IF NO TRANSFER WAS MADE, INSERT THE WORD "none"): Names Addresses 7. A work of improvement on the property hereinafter described was completed on September 21, 1999 (DATE). 8. The name of the original contractor, if any. for the %work of improvement was TA Rivard, Inc. (NAME OF CONTRACTOR. OR IF NO CONTRACTOR FOR THE WORK OF IMPROVEMENT AS A WHOLE. INSERT THE WORD "none"). [IF NOTICE COVERS COMPLETION OF CONTRACT FOR ONLY PART OF THE WORK OF IMPROVEMENT. ADD: The kind of work done or material furnished was Wntpr I inp� (GIVE GENERAL STATEMENT. E.G... furnishing of concrete for sidewalks. CO1tOR 9. The ro ert' on which the work of improvement was completed is in the Ci[ of Countv of San rnarinn Stat of California, and is described as follows:�Jlne L`anal „� ,1C u ie aiiu bray Sltreets and alleyway between Rancho 8 Valley. (set forth description of jobsite sufficient for identification, using legal description if possible). 10. The street address of the said property is None, (NUMBER AND STREET, OR. IF THERE IS NO OFFICIAL STREET ADDRESS. INSERT THE WORD "none".) Dated: 19 CITY OF COLTON (SIGNATURE) Thomas K. Clarke, Utility Director (TYPED NAME) VERIFICATION I, the undersigned, say: I am the person who signed the foregoing notice. I have read the above notice and know its contents, and the facts stated therein are true of my own knowledge. I declare under penalty of perjury that the foregoing is true and correct. Executed at California, this day of , 19 (SIGNATURE)