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t,EC' DING REQUESTED BY:, <br /> Th ;ity of Rancho Palos Verdes <br /> W}iLN RECORDED MAIL TO <br /> I City Clerk 1 06121(2018 <br /> Name City of Rancho Palos Verdes 111111111!Street 30940 Hawthorne Blvd. ! 31 1I1 1 1111111111 <br /> ; i � 11111111 <br /> III I;1 •AddressRancho Palos Verdes CA ' s! 1 I' ' '' <br /> co, • <br /> 90275 *20180624955* <br /> Slate <br /> Zip <br /> 4. J <br /> Space above this line for recorder's use <br /> NOTICE <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 /> t. 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 /> (if other than Fee,strike In lee'and insert.for example,'purer under contras t 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 roe hereinafter described was completed on Ma 16 2018 <br /> P property�'' P Y a ...�M� .The work done was: <br /> Miraleste Drive Arterial Street Rehabilitation Project <br /> 8. The names of the contractor,if any,for such work of improvement was PALP dba Excel Paving Company <br /> (it no contractor for wOit 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 of, A ,and is described as follows: Miraleste Drive-From the City's eastern <br /> border near 1st Street)to Palos.Verdes Drive East... <br /> 10. The street address of said property is_Mlle •_ <br /> (if no street address has been officially assigned,insert'none'.) <br /> d C CkCAN,X) poL; U e 0..c <br /> LY <br /> Dated ,O <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 Cit Clerk the Declarant of the foregoing Notice of Completion; <br /> (President of,Manager of,P. of.owner at.etc.) <br /> I have read said Notice of Completion and know the cont: :roof;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 � aoig ,20 itY of Rancho Palos Verdes • <br /> a l <br /> (Pe►solia sima x 8 0 .:individual who is swearing that the contents of the Notice of Corrptetion are true) <br /> Beforeyou use this form fill in all blanks,and make whatever chanes are appropriate and necessary ' <br /> � p <br /> to your particular transaction,Consult a lawyer if you doubt the form s fitness for your purpose and use. '� C { ' <br /> woleotts makes no representation or warranty, express or implied, with respect to the merchantability 7 .7775 01114 <br /> or fitness of this form for an intended use or purpose. 02005 WOLCQTTS FORMS,ftVC. A_i <br /> FORM 1114 Rev 10-05 <br />