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,RECORDING REQUESTED BY: <br /> Ciity of�l Rancho Palos Verdes <br /> WHEN RECORDED MAIL TO. <br /> r <br /> Name City Clerk <br /> Street City of Rancho Palos Ve edes 0211812016 <br /> Address '30949 Hawthorne Blvd. <br /> City <br /> Rancho Palos Verdes <br /> State C A <br /> Zip 90275 <br /> *20160177998* <br /> ig <br /> L. J <br /> Space above this line for recorder's use <br /> TOLCO, S FORMS;:'NC. <br /> SINCE 1893 <br /> NOTICE O� <br /> CO�f SLE <br /> i, <br /> Ttt�� <br /> q 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 /> p <br /> 1. The undersigned is owner or corporate officer 9 rpo , o cer of the owner of the interest or state fated below in the property hereinafter described. <br /> 2. The full name of the owner is <br /> 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 tenantsor <br /> jointas 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,hereinaft r d scri ad wa corZ et 2 l 3 0 l 2 01 5 <br /> ��JJ <br /> Roan Road Storm Drain Renaol itarion �Lu]CCt The work done was: <br /> 8. The names of the contractor, if any,for such work of improvement was <br /> GRFCO, 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 Verdes <br /> County ofL,os Angeles , State of CA <br /> - ,and is described as follows: Storm Drain Easement <br /> 10. The street address of said property is 28684 Roan Road <br /> (If no street address has been officially assigned,insert'none'.) <br /> dcrY of d 13/ 05 VRPc5 <br /> A <br /> Dated 14 (7/(A!__________ <br /> aZ(Aj et2Zt. ..--, <br /> (Signature of Owner or corporate officer of Owner named in para raph 2,or his agent) <br /> C t z-'i PrC, <br /> VERIFICATION <br /> I, the undersigned, say. I am the <br /> City Clerk the Declarant of the foregoing Noticeof <br /> (President of,Manager of,Partner of,0,Tier of.etc.) __ 9 9 Completion; <br /> I have read said Notice of Completion and know the contents theroof:the s3,T,b is true to my own knowledge. I declare under penaltyof <br /> perjury that the foregoing is true and correct. <br /> Executed on �'--1ea�p7 20C'..moiof Rancho Palos Verdes CA <br /> 4_____ <br /> (Per!Mr:,•n.tura of the individual who is sw�eanng thb�the caonient the Notice of Completion are true) <br /> Before you use this form, fill in all blanks, and make whatever chanes are appropriate and necessary <br /> to your particular transaction. Consult a lawyer if you doubt the form s fitness for your purpose and use. impul <br /> Wolcotts makes no representation or warranty, express or implied, with respect to the merchantability 7 6777 <br /> or fitness of this form for an intended use or purpose. ©2005 WOLCOTTS FORMS,INC 5 01114 2 <br /> FORM 1114 Rev. 10-05 <br />