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. 111 410 <br /> RECORDING REQUESTED BY: <br /> City of Rancho Palos T-rdes <br /> - WHEN RECORDED MAIL TO: <br /> City Clerk 1 <br /> Name City of Rancho Palos V:-rdes <br /> Street 30940 Hawthorne Blvd , 07/21/2010 <br /> Address <br /> city Rancho Palo Verdes1111111111 <br /> Zip <br /> CA q� '� � :,' *201009984 <br /> L 90275 73 <br /> Space above this line for recorder's use <br /> WOLCOTTS FORMS INC. SINCE 1893 <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 Pa10S Verdes • <br /> 3. The full address oftheowneris 30940 Hawhtorne Blvd_ , Rancho Palos Verdes, CA90275 • <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 June 1 2, 201 0 .The work done was: <br /> Residential Rtreets Overlay and Slurry SealProjcct 08 09 , Mcdlmpr <br /> S. The names of the contractor,if any,for such work of improvement was <br /> All American Asphalt, Inc_ <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: Various Streets (sPP a t to`4) <br /> • <br /> 10. The street address of said property is Varirwts Streets (sen attached doc. for list) • <br /> (It no street address has been officially assigned,insert'none.) <br /> Dated 7/20/2010u(444_ r <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 Ci t vC l. rk ,the Declarant of the foregoing Notice of Completion; <br /> (Pr sident of,Manager of.Partner of.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 is true and correct. <br /> 9 Executed on 0 ll 20 t _ . _ . . _ _ - _ - CA • <br /> (Personal signature of the individual who is swearing tents of the Notice of Completion are true) <br /> Before you use this form fill in all blanks,and make whatever changes are appropriate and necessary ti quointo your particular transaction.Consult a lawyer if you doubt the form s fitness for your purpose and use. 1!, i <br /> Wolcotts makes no representation or warranty, express or implied,with respect to the merchantability 7 167775 011141112 1✓., <br /> or fitness of this form for an intended use or purpose. ®2005 WOLCOTTS FORMS,INC. j <br /> FORM 1114 Rev.10-05 �_ <br />