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RECORDING REOUESTED,BY: <br /> City bf Rancho Palos Verdes <br /> ' WHEN RECORDED MAIL TO: <br /> City Clerk 1211712015 <br /> NameCity of Rancho Palos Verd6- <br /> 30940 Hawthorne Blvd. <br /> Street R 1111111111101 20151ancho Palos Verdes <br /> Address <br /> C A 59048 <br /> City 90275 <br /> State <br /> Zip <br /> l_ J <br /> Space above this line for recorder's use <br /> OL0 f:TS'FORMS INC. <br /> SINCE 1893 <br /> NOTICE <br /> OFCOMPLETION <br /> Notice pursuant to Civil Code Section 3093,must be filed within 10 days after completion. (See reverse side for com let <br /> ' Notice is hereby given that: p e requirements.) <br /> 1. The undersigned is owner or corporate officer of the owner of the interest or estate stated below in the property hereinafter <br /> described. <br /> 2. The full name of the owner is City of Rancho Palos- Verdes <br /> 3. The full address of the owner is 30940 Hawthorne 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 <br /> 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 s erred 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 November 9 , 2015 .The work don <br /> - - - _ - .. a. e _ _ • • ' • - . . tt•rovements on Mira Catalina e was: <br /> 8. The names of the contractor, if any,for such work of improvement was Ruiz Concrete an• aving , Ile. <br /> (11 no contractor for worts 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 ofC A ,and is described a I Rightof Way <br /> follows: City <br /> 10. The street address of said property is Starline Drive and Par urs ive • <br /> (If no street address has been officially assigned,insert'none'.) <br /> (. ."4 <br /> yc Act,(OS .fC.A1:1)) <br /> Dated ( f ( S <br /> /(40/tALAA.2..Q....."----4 <br /> (Signature of Owner or corporate officer of Owner named in paragraph 2.or his agent) <br /> VERIFICATION <br /> I,the undersigned,say:I am the City Clerk ,the Declarant of the foregoing Notice of Completion; <br /> of,Manager of,Partner of,Owner of,etc.) g <br /> I have read said Notice of Completion and know the contents thereof;the same is true to my own ena knowledge. I declare under of <br /> perjury that the foregoing is true and correct. p �Y <br /> Executed on , 7Z -&L / <br /> ,20 /57— <br /> 20 /57— Cit of Rancho Palos Verdes CA <br /> r <br /> -.leI_,� ' / ,,,j <br /> (Personal signature of the individual who is swearing th.t the contents o/ e Notice of Completion are true) <br /> Before you use this form fill in all blanks, and make whatever chanes are appropriate and necessary ' , ming <br /> to your particular transaction . Consult a lawyer if you doubt the form s fitness for your purpose and use. l; Il' <br /> 4 <br /> Wolcotts makes no representation or warranty, express or implied, with respect to the merchantability 7 '' 6777 S <br /> 11 <br /> or fitness of this form for an intended use or purpose. ©2005 WOLCOTTS FORMS,INC. 01114 2 <br /> FORM 1114 Rev. 10-05 <br />