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RECORDING REQUESTED BY »]
AND WHEN RECORDED MAIL TO
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Name
Street
Address
City &
State
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City Clerk
City of Placentia
401 E. Chapman Ave.
Placentia, CA 92870
City Council Approval:
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SPACE ABOVE THIS LINE FOR RECORDERS USE
Free Recording Per Government Code Section 27363 a 6103 Deputy City Clerk
NOTICE OF COMPLETION
Notice pursuant to Civil Code Section 3093, must be filed within 10 days after completion. (See reverse side for Complete requirements.)
Notice is hereby given that:
1. The undersigned is owner or corporate officer of the owner of the interest or estate stated below in the property hereinafter described:
2. The full name of the owner is City of Placentia
3. The full address of the owner is 401 East Chapman Avenue Placentia. CA 92870
4. The nature of the interest or estate of the owner is: In fee.
N/A
(If other than fee, strike "In fee" and insert, for example, purchaser under contract of purchase, or -lessee")
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: NAMES ADDRESSES
N/A
6. A work of improvement on the property hereinafter described was completed on January 18, 2022. The work done was:
FY 2020 -21, FY 2020-2021 Arterial Roadway Rehabilitation Proiect No. 1102. This work included pavement reconstruction, reconstruction of damaged sidewalk, curb and gutter. new signina. striping, markings, and pavement legends, The location and limits of the work include Madison Avenue, Melrose Street. Chapman Avenue in addition to a number of collectors and residential Streets.
The name of the contractor, if any, for such work of improvement was RJ Noble Company
7. 15505 E. Lincoln Avenue. Oranae. CA 92865 07/20/2021 (If no contractor for work of improvement as a whole, insert "none") (Date of Contract)
8. The property on which said work of improvement was completed is in the city of Placentia County of Orange , State of California, and is described as follows: FY 2019-20. Stuffy Seal Proiect, City Proiect #1001
9. The street address of said property is "none"
Dated: April 5, 2022
Verification for Individual Owner
(If no street address has been officially assigned. insert "none".)
CITY OF PLACENTIA
Signature of owner orcorporate officer of owner
named In paragraph 2 or his agent
VERIFICATION
I, the undersigned, say: I am the City Administrator the declarant of the foregoing ("President or, "Manager or, "Owner or. etc.)
Notice of completion; I have read said notice of completion and know the contents thereof; the same is true of my own knowledge.
I declare under penalty of perjury that the foregoing is true and correct.
Executed on April 5, 2022 , 2022, at Placentia , California. (Date of Signature,) (City where signed,)
NOTICE OF COMPLETION — WOLCOTIS FORM 1114 — REV 6-74
(Personal signature of the individual who is swearing
that the contents of the notice of completion are
true.) -
8 pt type or larger
ATTACHMENT 1