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RECORDING REQUESTED BY: <br /> The City of Rancho PalUI Verdes <br /> WHEN RECOIIDED`MA1L TO: <br /> r - <br /> Name City Clerk 1 04/07/2017 <br /> City of Rancho Palos Verdes I <br /> sta;,e� 30940 Hawthorne Blvd. <br /> qty Rancho Palos Verdes i I <br /> State CA *20170387223* <br /> Zip 90275 <br /> 1. J <br /> Space above this line for recorders use <br /> o o'rrs 5� ++rs w <br /> , <br /> • <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 co rate office of the ow er of e i terest s ted below in the property hereinafter described o Rancho ' a�os `�� �� <br /> 2. The tali name of the owner is <br /> 3. The full address of the owner is 30940 Hawthorne Blvd. Rancho Palos Veideb, CA 00275 <br /> 4. The nature of the interest or estate of the owner is:In fee. <br /> (If other than Fee,strike in lee and insert,for exan,rle,'purchaser unbar contract of purcnaso: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 onb 24, 2017 .The work done was: <br /> Abalone Cove Sewer System Cleaning, Inspection & Resorting FY 16-17 <br /> 8. The names of the contractor,if any,for such work of improvement was Performance Pipe ins ec n. •• ' - <br /> (if no contractor 1d work of improvement as a whole,insert'None") (Dale of Contract) <br /> 9. The property on which said work of improvement was completed is in the City of Rancho Palos Verdes <br /> CountDS Angeles ,State of CA ,and is described as follows: Various Locations (See Attachment <br /> 10. The street address of said property is <br /> (II no street address has been olfidaffyssigned.insert'none'.I <br /> (Pt (Cof j2 110 t c,tc5 lie ole _)Dated it t Ir� V✓I , .(Signa lureofOwner roorcorporate officer of Owner named in paragraph 2.or his agent) <br /> City Clerk VERIFICATION <br /> 1,the undersigned,say:I am the ,the Declarant of the foregoing Notice of Completion; <br /> (President or,Manager of,Partner ol.Owner et.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 is true and correct. <br /> Executed on 1tY i t ,201-1 at ;t o . Rancho Palos Verdes <br /> .11111 <br /> (Personal si nature /1 _ <br /> g �j ''� annQ that the cmtents OI the Notice of Completion are Inre) <br /> Before you use this font fill in all blanks, and make whatever change .re a_propriate as'. necessary 'MINN to your particular transaction.Consult a lawyer if you doubt the form s fitne = ' .rpose and use. <br /> Wolcotts makes no representation or warranty, express or implied, with respect to the merchantability 7 75 0111 A_ <br /> or fitness of this fOm1 for an intended use or purpose. 012005 WOLCOTT'S FORMS.INC. <br /> FORM 1114 Rev.10-05 <br />