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r CORbING•RF0UESTED BY. 0411212018 <br /> The City of Rancho Palos Verdes <br /> WHEN RECORDED MAIL TO <br /> r City Clerk <br /> Name City of Rancho Palos Verdes *20180355876* <br /> 11 <br /> Street 30940 Hawthorne Blvd. <br /> Address <br /> Rancho Palos Verdes. CA <br /> City 90275 <br /> State <br /> Zip <br /> (. J <br /> Space above this line for recorder's use <br /> ;_ _ _ _ _ _ _, _ . 5 l 893 <br /> OL ,O r SFORMS INC. rrrcF <br /> • NOTICE OF COMPLETION <br /> >� P <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 /> (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 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 December 22,2017 . The work done was: <br /> Residential Street Rehabilitation Project-Area 7, Phase I, Project No. 004917 <br /> 8. The names of the contractor, if any,for such work of improvement was Sully-Miller Contracting Company <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 of Los Angeles ,State of CA ,and is described as follows: PCC work and AC repairs in Area 7 residential <br /> streets. <br /> 10. The street address of said property is Residential Streets in Area 7 (see attached) <br /> (II no street address has been officially assigned.insert'none'.) <br /> City of Rancho Palos Verdes <br /> Dated I-I it Ift --- <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 City Clerk ,the Declarant of the foregoing Notice of Completion; <br /> (President of.Manager of,Partner of.Owner of.etc. <br /> I have read said Notice of Completion and know the contents thereof;the sam: rue to my own knowledge. I declare under penalty of <br /> perjury that the foregoing is true and correct. <br /> Y'l 20 18 at City oa Pale erdes <br /> 1.1‘Executed on � f R ��' <br /> (Personal signature of in. .uai,who is swe: •t the contents of the Notice of Completion are true) <br /> • <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. <br /> uquull <br /> Wolcotts makes no representation or warranty, express or implied, with respect to the merchantability 7 6777 5 01114 2 <br /> or fitness of this form for an intended use or purpose. ©2005 WOLCOTT S FORMS,INC. <br /> FORM 1114 Rev 10-05 <br />