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RECORDING REOUESTEO BY, <br /> The City of Rancho Palos Verdes <br /> WHEN RECORDED MAIL 10 <br /> r City Clerk 1 ::'. <br /> Name City of Rancho Palos Verdes <br /> t <br /> • <br /> &reel 30940 Hawthorne Blvd. , • : 'Addre <br /> s <br /> ` Rancho Palos Verdes,CA '" <br /> City <br /> 90275 <br /> State <br /> Zip <br /> J <br /> - Space above this line for recorder's use <br /> •rrc F 3 893 <br /> NOTICE OF COMPLETION <br /> Notice pursuant to Civil Code Section 3093,must be filed within 10 days atter 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 /> (If Omer than Fee.strike in tee'and resent for example 'purchaser under contract at.purchase.'or'lessee') <br /> 5, the full names and full addresses of all persons,it any.who hold trite 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 June 15,2018_ .The work done was: <br /> Storm Drain Point Repair Project <br /> 8. The names of the contractor,if any,for such work of improvement was G.B. Cooke, Inc. <br /> (If no contractor for 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 /> County of <br /> Los Angeles , State of GA ,and is described as follows. 7 Locations on the East Side of the City _ <br /> 10. The street address of said property is none <br /> (If no street address has been otiroatly assigned.insert'none') <br /> '�- d d`pC /f410$ -erd e� F � s <br /> Dated AAA' <br /> ._ <br /> (Signature of Owner or corporate°Moor of Owner named in paragraph 2.or his agent) <br /> VERIFICATION <br /> I,the undersigned,say:I am the City Clerk e ,the Declarant of the foregoing Notice of Completion; <br /> (Presadent of.Manager of.Partner of Owner ot.etc.) <br /> I have read said Notice of Completion and know the contents thereof;the so - is true to my own knowledge. I declare under penalty of <br /> perjury that the foregoing is true and correct <br /> 20 18 at City of Rancho ' los Verdes <br /> Executed ted on Jl ,. _ <br /> (Personal signature of the ••victual who 1 ''ng at the contents of the Notice o+Completion are true) <br /> Before you use this form, fill in all blanks, and make whatever chanes are approp . .nd necessary <br /> 1111111 <br /> to your particular transaction Consult a lawyer it you doubt the form s fitness for your purpose and use <br /> W olcotts makes no representation or warranty, express or implied, with respect to the merchantability 7 67775 01114 2 <br /> or fitness of this form for an intended use or purpose. 02005 WOLCOT1 S FORMS.INC. FORM 1 1 14 Rev 10-45 <br />