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RECORDING REQUESTED BY. <br /> City of Rancho Palos Verdes <br /> WHEN RECORDED MAIL TO. <br /> rr� t Clerk -106/04/2015 <br /> Naht� y <br /> City of Rancho Palos Verdes <br /> Atddress 30940 Hawthorne Blvd. <br /> sCi <br /> tore <br /> Rancho Palos Verdes *20150658810* <br /> Zip 90275 <br /> t- J <br /> Space above this line for recorder's use <br /> WOLCOTTS FORMS INC. <br /> 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 Rancho Palos Verdes <br /> • <br /> 3. The full address ofthe owneris 30940 Hawthorne Blvd. , Rancho Palos Verdes, CA 90275 <br /> 4. The nature of the interest or estate of the owner is: In fee. <br /> (II other than Fee.slnke 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 January 22, 2015 . The work done was: <br /> PVDE Arterial Roads Rehabilitation Project <br /> 8. The names of the contractor,if any,for such work of improvement was All <br /> American Asphalt <br /> None)(If no contractor for work of improvement as a whole.inser2/1411,of Contra.) <br /> 9. The property on which said work of improvement was completed is in the City of Rancho Palos Verdes <br /> County of Los AngP1 Ps ,State of ('PA_,and is described as follows: pales erries Dri me Past <br /> Between Conestoga Drive and Vista Del Mar <br /> 10. The street address of said property is pp�T����pp <br /> (If no street address hatbXMh`dtfioally assigned,insert-none") <br /> Dated i9 (3(cr- <br /> (Signature <br /> of Owner or corporate officer of Owner named in paragraph 2,or his agent) <br /> City of Rancho Palos Verdes <br /> VERIFICATION <br /> I,the undersigned,say: I am the City Clerk _,the Declarant of the foregoing Notice of Completion; <br /> (President of,Manager 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 /> Executed on ?.-t <br /> 4c�- 3 a) /3 ,20 1 . a - _ • i w jd4 7 --. CA <br /> ._ ��f� heti <br /> (Personal signature of the individual who is swearing that the tents of the Notice of Conpletion are true) <br /> Before you use this form fill in all blanks, and make whatever chanes are appropriate and necessary 11111 <br /> to your particular transaction .Consult a lawyer if you doubt the forms fitness for your purpose and use. <br /> Wolcotts 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 WOLCOTTS FORMS,INC. <br /> FORM 1114 Rev.10-05 <br />