1991 AGN JUL 16 I06 - Laserfiche WebLink

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RECORDING REQUESTED BY AND WHEN RECORDED MAIL TO H..z FCITY OF COLTON A—punts Attn: City of Colton 650 N. La Cadena Dr. `G; rzL_Colton, CA 92324 1 SPACE ABOVE THIS LINE FOR RECORDER'S USE Notice of Completion Before using this form, refer to recommended procedure stated on reverse side of this form 71 NOTICE IS HF.BEBY GI% WHAT: 1. The undersigned is ow of the interest or estate stated below in the propert, iereinafter described. 2. The full name of the unucrsigned is John C. Hutton, Director of Public Works,._City_of Colton a. The full address of the undersigned is 650 N. La Cadena Dr., Colton, CA ..92324-2897 1. The nature of the title of the undersigned is: In fee-... . I if other than fee. strike "In fee' and insert, for example, "purchaser under contract of purchase or 'lessee".I 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. _.....July --- 1-6i-.1.991-__-_,_ ...... 7. The name of the original contractor, if any, for such work of improvement was -------- M,_-Grbavac-...__-_----- __...... Construction Co., Arcadia CA (If no (onlraetor for work of improvement as a whole, in=ert "none".1 P. The full name(s) and addressles) of the transferor(s) of the uncle:-igned is tare): NAMF.ISI M)DRESS(ESI _.. _..-- ..... __........_ . - - - - ._... - ...... - ...... ._...- -------- ---- --- __..__......_.._ - _._..._.... _- ....-... - _.. ._.. - - ...... It.omplea• where indrrsip—d is successor to owner who rained improvement to be comtructedl 9. The property on which said work of unjumement was completed is in the city of 11orl...----_........... .......... . ...._........ _. __- - ....... county of__-San..Bernaf.tllm_............ -, state of Califo=. nd is described as follow construction, -of .... 1.8"-Sewer_.L.i.ne Qn..rancho..Avenue.,_Ci.t.y_Prn1eci_.#PW89-5.- ......... _____.. ..... _ __ .._... _.. _... _.. _ - _...... ............ ....... - ...._... __........... _.._.................... ...._....... - - - .............. ....... ................_------------ ........ ......._.............. .... ........... ........ .._. 10. The street address of said property is..._ __.-Rancho. -Ave. -.._......___.......... -..... _... .-_...... _.__-.-----.._............ - - ............._...----------- _........ --........... .._...._......-_... ...._.----.......... .... ......... - -.-.......... ............ ..... ....... ._.................... -.... ..---..... -............ .--- -- ----------- .--------- .._._._.......... .------ .. .. . .-............ --- -- -- -............ . (If no street address has been officially assigned, insert "none"., - Signature of CITY O LTON Jul 8 1991 o,r named C Dated__--.-.-.. ...... '...----- ....._.... . u oeparagraph 2 _... n of Public C. Hutton, Director Works Verification. for individual owners. STATE OF CALIFORNIA. 1 The undersigned, being duly sworn, says: That he is the owner of the aforesaid interest or estate in the property described in the foregoing notice; that he has read the same, and knows the contents thereof, and that the facts stated therein are true. Signature of owner named in paragraph 2................................................................ ... _.... _..---_---................ ....... ...-----....._..... _.... _. _. _..._. _.....-.... _......--....... SUBSCRIBED AND SWORN TO before me on ..............._............_ _ ................. _.......... ................ _....._..............._............-___........_.....................__................. Name (Typed or Printed) Notary Public in and for said State Title Ordrr Nn. F—rmc Nn. FOR NOTARY SEAL OR STAMP