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RE�i]t�DING REQUt STED BY: W <br /> = City of Rancho Palos Verdes ! 3 <br /> WHEN RECORDED MAIL TO: r y <br /> City Clerki 05/28/08 a <br /> NamCity of Rancho Palos Verdes 0 = <br /> ret <br /> 30940 Hawthorne Blvd. 111111 <br /> I <br /> 111111 111 111111 Palos Verdes <br /> City <br /> 20080937172 <br /> 37172 C4 <br /> =� A fD <br /> zip 90275 n <br /> L = <br /> CO <br /> Space above this line for recorders use `, <br /> WOLCOTTS FORMS INC. • • SIN• C) <br /> n <br /> NOTICE OF COMPLETION 03 <br /> Notice pursuant to CMI 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 3/24/08 .The work done was: <br /> Resurfacing Hawthorne Rlvd_ <br /> 8. The names of the contractor,if any,for such work of improvement 4a1 1 American Asphalt Company <br /> 8/7/2007 <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 LO s Angeles ,State of CA ,and is described as follows: <br /> • <br /> 10. The street address of said property is Hawthorne Blvd. (SilverpSpur to the North City <br /> Limit) southbound PVDWest (Wes n011l. rt'11if1tl"'° ' w 'horhe Blvd. <br /> and a short segment of northbound PVD est (Hawthorne Blvd. to <br /> 400 ft. south of co .en rove a <br /> Dated 5/20/08 �) <br /> (Signature of Owner or corporate officer of Owner named in paragraph 2.or his agent) <br /> City of Rancho Palos Vcrdcs <br /> City Cle?RIFICATION <br /> I,the undersigned,say:I am the ,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 same is true to my own knowledge.I declare under penalty of <br /> perjury that t - foregoing is true and correct. <br /> _ 20 6B at City of rancho Palos Verdes, , CA <br /> Executed on get4-&_LAP-fAial-C_-) <br /> (Personal signature of the individual who is swearing that the contents of the Notice of Completion are true) <br /> 11111111Before you use this form fill in all blanks,and make whatever changes are appropriate and necessary <br /> to your particular transaction .Consult a lawyer if you doubt the form s fitness tor 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. ®2005 WOLCOTTS FORMS,INC. <br /> FORM 1114 Rev.10-05 <br />