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RECORDING REQUESTED BY AND WHEN RECORDED MAIL TO Name Street Address City 6 Stare Zip SPACE ABOVE THIS LINE FOR RECORDER'S USE Notice of Completion NOTICE IS HEREBY GIVEN THAT: L The undersigned is the owner of the interest or estate stated below in the property hereinafter described. 2. The full name of the undersigned is c/i- ry OF cm;ro/V (NAME) 3. The full address of the undersigned is CO�o A), 6,q C/9/JE"Nli Q�i�f% (NUMBER AND STREET. CITY. STATE. ZIP). 4. The nature of the title of the undersigned is (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 improvement 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 `J'cP F -AA e'1Z O_T-%% (DATE). 8. The name of the original contractor, if any, for the work of improvement was LJLL i9�/f/liG'niV /JSf3i/!Li" (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 P�yEml n9'T izC�fAF31L1 �9TiC�n! (GIVE GENERAL STATEMENT. E.G., furnishing of concrete for sidewalksl. 9. The property on which the work of improvement was completed is in the City of G0l..7-0AJ County of C 1J State of California, and is described as follows: 77- PAvervC-M-r M0r-CT (set forth description ofjobsite sufficient for identification, using legal description if possible). 10. The street address of the said property is V09a'00's rii y Gt/iUE ST�t r'j S (NUMBER AND STREET. OR. IF THERE IS NO OFFICIAL STREET ADDRESS. INSERT THE WORD "none".) Dated: 19 (SIGNATURE) �O►flf C I fUT7c�N (TYPED NAME) }�iJi3i./C Lrlv2,C� l7l �CeTo2 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 T 420 LEGAL (4-94) California, this day of , 19 . (SIGNATURE)