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1994 AGN MAR 15 I13
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1994 March 15 Agenda Packet
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1994 AGN MAR 15 I13
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RMORO1No REGURSTEo w <br />AND WNtw ttalconoso MAIL TO <br />r"—City of Colton <br />Aee.aa. 650 N. La Cadena Dr. <br />C„vis Colton, CA 92324 <br />OwAva L <br />SPACE ABOVE THIS LINK POR RKOOROER'S USE <br />Notice of Completion <br />Corporatiota <br />Before using this form, refer to recommended procedure stated on reverse side of this form <br />NOTICE IS HEREBY GIVEN THAT: <br />I. The undersigned is owner of the interest or estate stated below in the property hereinafter described. <br />2. The full name of the undersigned is..s70 1.. .....HU OIl.r...� � Q ..f�...�11b�.1.G...WQrks...................... <br />3. The full address of the undersigned is ... 65.0..N.....J-a..Cade a..Dr-..,...Coltari ..................................... <br />..................... <br />4. The nature of the title of the undersigned is: In fee..................... ................................ <br />( If other than fee, strike "In fee" and insert, for example, "purchaser under contract of Iwrchaw." or "lessee".1 <br />S. The full names and full addresses of all persons. if any, who hold title with the undersigned as joint tenants or <br />as tenants in common are: <br />NAMES ADDRFCSFc <br />................................................................................................................................................................... <br />.....................................................................................I................---.......................................I-- ............... <br />........................................................................................................................................................ ......... I ........ <br />. <br />............................................................................................................................................................................. <br />................................................................................................................................................................................... <br />................................................................................................................................................................................................. <br />6. A work of improvement on the property hereinafter described was completed on.-t4a Ch..1.5-r-•--19.94•••-------------- <br />7. The name of the original contractor, if any, for such work of improvement was..jnsi:tufo& ...Sott-tl%,e,g......... <br />......-•--....-•----•................................................... <br />(If no contractor for work of improvement as a whole, insert "none .1 <br />8. The full name(s) and addressles) of the transferor(s) of the undersigned is Istel: <br />NANIEISi ADDRFSSIFSI <br />................................................................................................................................................................................................ <br />....................................................................................................................................................................................... <br />............................. .................•---........................................................................................................---.............................. <br />................................................................................................................................................................................................. <br />............................................................................................................................................................................................ <br />.......................................................................................................................................................................................... <br />(Complete where undersigned is surressor to owner who caused improvement In awe constructed) <br />9. The property on which aid work of improvement was completed is in the city oL.Cpi-t�.............................. ........ <br />........... county of San Bernardino .................. state of California. and is dc-crihed as follow,: <br />Rehabilitation..of..existing sewer lines within,...t.11er..City� se..I..00[npleted.......... <br />.........................................................................................................---..................-- ...--.................................................... <br />........................................................................................................................................................................................... <br />..................................................................................................................................................................................•-••--......... <br />........................................................................................................................................................................................... <br />10. The :trot address of said property is None ................................................................................................. <br />................... <br />............................................................................................................................................................................................ <br />....................................................................................................................................................... <br />(If no street address has Iw en officially assigned, insert "none".) <br />Signature of Cit.y of Colton <br />................................................................................. <br />owner named <br />Dated ...................................................... in naracranh 2 <br />Verification for corporate owners <br />STATE. OF CALIFORNIA. <br />Countyof........................................................................ SS. <br />........................................................................................!wing duly sworn. <br />says: That he is the.................................................................................... <br />of................................................................................................................... <br />the corporation that executed the foregoing notice as owner of the <br />aforesaid interest or estate in the property therein descrihed: that <br />he makes this verification on I)ehalf of said corporation: that he <br />has read said notice and knows the contents thereof, and that the <br />farts therein stated are true. <br />Signature of officer ............................. <br />SUBSCRIBED AND SWORN TO before me on <br />.......................................................----............................... <br />Title Order No F row No <br />1-131 <br />.............................................................................................. <br />John C. Hutton, Director of Public Works <br />FOR NOTARY SEAL OR STAMP <br />
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