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RECORDING REQUESTED BY
1 AND WHEN RECORDED MAIL TO
r
Name
Street
Address
City &
State
L
City Clerk
City of Placentia
401 E. Chapman Ave.
Placentia, CA 92870
City Council Approval: April 16, 2024
J
SPACE ABOVE THIS LINE FOR RECORDER'S USE
Free Recording Per Government Code Section 27383 & 6103.
Carole Wayman, 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 February 1, 2024. The work done was:
TOD Crowther Sewer Line Proiect — City Proiect No. 3101.
The name of the contractor, if any, for such work of improvement was Kana Pipeline Inc.
7. 12620 Magnolia Avenue, Riverside, CA 92503 11/16/2021 (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: TOD Crowther Sewer Line Replacement Project.
9. The street address of said property is Crowther Avenue, Placentia Avenue, Oranoethorpe Avenue. (If no street address has been officially assigned. insert "none")
CITY OF PLACENTIA
Dated: April 16, 2024
Verification for Individual Owner
Damien R. Arrula, City Administrator
Signature of owner or corporate officer of owner named in paragraph 2 or his agent
VERIFICATION
I, the undersigned, say: I am the City Administrator, Damien R. Arrula ("President of", "Manager of", "Owner of", etc.)
the declarant of the foregoing
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 16
(Date of Signature.)
NOTICE OF COMPLETION — WOLCOTTS FORM 1114 — REV. 6-74
, 2024 , at Placentia
(City where signed.)
, California.
Damien R. Arrula, City Administrator
(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