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NECORDING REQUESTED BY: <br /> City of Rancho Palos Verdes <br /> WHEN RECORDED MAIL TO: <br /> r City Clerk1 <br /> Name , I 1011191121°90, <br /> 41111\ <br /> 119 <br /> 12° 3��4�►,; <br /> \\I\Cit of Rancho Palos Verdes1\ \!,\V,1 i Street 30940 Hawthorne Blvd. 1+ \; �;,'; AAddressRancho Palos Verdes ' '�,I� t1i <br /> I <br /> City ��\V,, <br /> State <br /> Zip 90275 <br /> Space above this line for recorder's use <br /> WOLCOTTS FORMS INC. SINCE 1893 <br /> NOTICE OE 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 V e r e s <br /> 3. The full address of the owner is <br /> 30940 Haw borne Blvd, Rancho Palos Verdes, 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 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: <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 April 30 , 2013 .The work done was: <br /> Storm Drain Rehabilitation - Lines 35, 36, & 37 <br /> 8. The names of the contractor,if any,for such work of improvement was Sancon ngineering, Inc. <br /> (If 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 Verde s <br /> County of Los Angeles ,State of CA ,and is described as follows: Public Right of Way on Palos <br /> Verdes Drive East at Crownview & APN 7566-023- 026 <br /> 10. The street address of said property is <br /> (If no street address has been officially assigned,insert'none'.) <br /> Dated Ojkithit,rt_ leAtitz <br /> to -- a - � � <br /> (Sit l L y O L r K g lie O ftegrivgl i <br /> V g 6 g his agent) <br /> CityVERIFICATION <br /> Clerk >�T,�,N <br /> I,the undersigned,say:I am the ,thetOeclarapt of the foregoing Notice of Completion; <br /> (President of,Manager of,Partner of,Chimer of,etc.} '4' 4.y�, • <br /> I have read said Notice of Completion and know the contents thereof;the same is true to rvy own knowledge. I declare under penalty of <br /> perjury that the foregoing is true and correct. <br /> CPalos. <br /> Executed on �� �,it, Of Rancho Verdes CA <br /> ,20 .t <br /> J.., . 4 1 W- <br /> (Personal signature of the individual who is swea ng th,ttho••f is of the Notice of Completion are true) <br /> Before you use this form fill in all blanks, and make whatever changes are.a p(opriate_and necessary il!, <br /> to your particular transaction.Consult a lawyer if you doubt the form s fitness for your purpose and use. i! <br /> Wolcotts makes no representation or warranty, express or implied,with respect-to the merchantability 7 <br /> or fitness of this form for an intended use or purpose. 02005 WOLCOTTS FORMS,INC. 6777 S 01114 2 <br /> FORM 1114 Rev.10-05 <br />