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.nECORDING REQUESTED BY: <br /> City of Rancho Palos Verdes <br /> WHEN RECORDED MAIL TO: <br /> 05I20/206 <br /> 1 <br /> rCity Clerk 11111111111111111111 111111 <br /> Name <br /> City of Rancho Palos Verses <br /> Street 30940 Hawthorne Blvd. <br /> Address *20160580576* <br /> Rancho Palos Verdes <br /> City <br /> State CA <br /> Zip 90275 <br /> 1. J <br /> Space above this line for recorder's use <br /> WOLCOTTS FORMS INC. Stn+cE 1893 <br /> NOTICE OF COMPLETION <br /> Notice pursuant to Civil Code Section 3093,must be filed within 10 days after completion.(See reverse side for complete requirements.) <br /> Notice is hereby given that: <br /> 1. The undersigned is owner or corporate officer of the owner of the interest or estate stated below in the property hereinafter described. <br /> 2. The full name of the owner is City of Rancho Palos Verdes <br /> 3. <br /> The full address of the owner is 30940 Hawthorne Blvd. , Rancho Palos Terde s, CA 90275 <br /> 4. The nature of the interest or estate of the owner is:In fee. <br /> (If other than Fee,strike in fee'and insert,for example.'purchaser under contract of purchase.'or'Lessee') <br /> 5. The lull 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 full names and full addresses of the predecessors in interest of the undersigned, if the property was transferred subsequent to the <br /> commencement of the work or improvements herein referred to: <br /> NAMES ADDRESSES <br /> 7. A work of improvement on the property hereinafter described was completed on 3r2571-6 .The work done was: <br /> AnA Ar_ceSS and Sidewalk Improvements on PVDW <br /> 8. The names of the contractor,if any,for such work of improvement was Dash Construction Company, nc. <br /> (II no contractor for work of improvement as a whole,insert'None') (Date of Contract) <br /> 9. The property on which said work of improvement was completed is in the City of Rancho Palos Verdes <br /> County of Los Angeles-- ,State of C A ,and is described as follows: R <br /> 10. The street address of said property is Hawthorne Blvd. to Rue Beaupre on Palos Verdes Dr. West <br /> (If no street address has been officially assigned,insert'none'.) <br /> Dated (4-(f c, <br /> (Signature of Owner or corporate officer of Owner named in paragraph 2,or his agent) <br /> -- ty_a Rancho Palos Verdes <br /> rVERIFICATION <br /> I,the undersigned,say:I am the <br /> City C 1 e ,the Declarant of the foregoing Notice of Completion; <br /> (President of,Manager of,Partner of.Owner of.etc.) <br /> I have read said Notice of Completion and know the contents thereof;the same is!rue to my own knowledge.I declare under penalty of <br /> perjury that the fore oing is true and correct. <br /> Rancho Palos Verdes CA <br /> Executed on_ ,2 _ . <br /> (Personal signature of the indivi• who is swearing that the••-ents of the '• •:of Completion are true) <br /> Before you use this form fill in all blanks,and make whatever chanes are appropriate and necessary ;111111 <br /> to your particular transact <br /> ion.Consult a lawyer if you doubt the forms fitness for your purpose and use 11 'LI <br /> Wolcotts makes no representation or warranty, express or implied,with respect to the merchantability 7 67775 01114 12 <br /> or fitness of this form for an intended use or purpose. ©2005 WOLCOTTS FORMS,INC. <br /> FORM 1114 Rev.10-05 <br />