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RECORDING REOUESTED BY. <br />The City of Rancho Palos Verdes <br />WHEN RECORDED MAIL TO <br />r City Clerk 11/13/2017 <br />Name City of Rancho Palos Verdes <br />Street 30940 Hawthorne Blvd. <br />Address Rancho Palos Verdes, CA <br />City 90275 20171298886' <br />state <br />Zip <br />I. <br />— Space above this line for recorder's use <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. 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 />(II other than Fee, strike 'In lee' and insert, for example. 'purchaser under con"_11 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 _November 8,_20_17 . The work done was: <br />2015 Storm Drain Lining Protect <br />8 The names of the contractor, if any, for such work of improvement was Southwest Pipeline and Trenchless Corporation <br />(It no contractor for work of Impeovemenl as a whole. insert 'None*) (Dale of Contracll <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 CA and is described as follows <br />10. The street address of said property is <br />Dated `\`!�1 `—\ <br />Various locations around the C <br />(it no street address has Oven ofliaally assigned, insert'norK'.) <br />_ L��✓ v v ( V <br />(Signature of owner or Corporate Of ioar of Owner named in paragraph 2. of his agent) <br />VERIFICATION <br />I, the undersigned, say: I am the City Clerk , the Declarant of the foregoing Notice of Completion; <br />(President of. Manager of. Panner or Owner of. etc.) <br />I have read said Notice of Completion and know the contents thereof; the same is true to my own knowledge. I declare under penalty of <br />perjury that the foregoing <br />tiiss�true and <br />cyorrect. <br />Executed on \VyV . 1 20 17 at Ci ncho Palos Veraes <br />(Personal signal lha indI�t Mfp is swearing that the contents of the Notice of Completion are true) <br />Before you use this form fill In all blanks, and make whatever chanes are appropriate and necessary jIP67 <br />®I�I�II�IN�� <br />to your particular transaction Consult a lawyer if you doubt the forms fitness or your purpose and use AANN I' fl® <br />to <br />makes no representation or warranty, express or implied, with respect to the merchantability 775 01116 �_'� <br />or fitness of this form for an intended use or purpose 12005 wOLCOTI S FORMS. INC. <br />FORM 1114 Rev 10-05 <br />