Project 181 - Notice of Completion - Sandoval - 2007-06-14 - EXEMPT RECORDING REQUESTED
PURSUANT TO SECTION 6103
GOVERNMENT CODE
AND WHEN RECORDED MAIL TO.
JOAN REVAK
CLERK OF THE DISTRICT
COSTA MESA SANITARY DISTRICT
628 W 19" STREET
COSTA MESA, CA 92627 2718 THIS SPACE FOR RECORDER'S USE ONLY
NOTICE OF COMPLETION
NOTICE IS HEREBY GIVEN THAT
The undersigned is owner of sewer facilities as hereinafter described.
2. The full name of the undersigned is COSTA MESA SANITARY DISTRICT
3 The full address of the undersigned is 628 W 19th Street, Costa Mesa, CA 92627 2718.
4 The nature of the title of the undersigned is owner of sanitary sewer main line facilities installed in
easements and the public rights-of-way of the City of Costa Mesa, California. as shown in plans for 3333
Hyland, Costa Mesa, CA.
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:
None
6. The names of the predecessors in interest of the undersigned if the property was transferred
subsequent to the commencement of the work of improvement herein referred to.
None
7 A work of improvement on the property hereinafter described was completed on or around
May 30, 2007
8. The name of the contractor if any for such work of improvement was.
Sandoval Pipe Line
13052 Whittram Avenue
Rancho Cucamonga, CA 91739
9 The property of which said work of improvement was completed is in the County of Orange,
State of California, and is described as follows.
as described in paragraph 4 above
10 The street address of said property is:
Various
DATED this Pl� day of
Ski..a / 2007
COSTA MESA SANITARY DISTRICT
._ I& p
ART PERRY PRESIDENT
ATTEST
SLAV ! &et_
BOB OOTEN. SECRET\RY
STATE OF CALIFORNIA)
COUNTY OF ORANGE )SS
CITY OF COSTA MESA )
The undersigned, being duly sworn says: That he is the President of the Costa Mesa Sanitary District; that
he has read the foregoing instrument and knows the content thereof and that the facts stated therein are
true, and that he makes this certification by authorization granted by the Board of Directors of the Costa
Mesa Sanitary District.
� r
ART PERRY
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
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State of California ,
li ss. 4,
fi County of Orange
fi
re, On June 14, 2007 , before me, Joan Revak, Notary Public
Date Name na Tale of OfIIc (e g "Ja Do Notary Publir"(
fi personally appeared Arthur Perry and Robert Ooten , �I
,x Name(s)of Sign r(s) 1
FA it personally known to me ,g
F ❑ proved to me on the basis of satisfactory ,
gi evidence
fi Li
'F to be the persor�s whose name 6) is/® '
subscribed to the within instrument and ?'
acknowledged to me that he/sh-g executed 5,
§ the same in his/her he authorized
fi• ��„�• •, JOAN REVAK capacity es and that by his/herdifdf.
tiii ii' Commission• 1525560 slgnatur on the instrument the person(s), or
1 ikit�IN Nokny Pubic Cattomlo the entity upon behalf of which the person
Ih r!=!f Oronr County acted, executed the instrument. LI
AF My Comm.Expires Dec 8,2008 4
WITNESS my hand and and official seal.
✓ �Vr�
I` Pla Notary Seal Abo Signatu of Notary Pubhc $1
OPTIONAL II
Ih Though the information below is not required by law, it may prove valuable to persons relying on the document
Lid and could prevent fraudulent removal and reattachment of this form to another document.
Description of Attached Document
Title or Type of Document Notice of Completion for 3333 Hyland, Costa Mesa, f A
8
4V Document Date- June 14, 2007 Number of Pages: 3 ki
leSignes) Other Than Named Above
L r(
g y
g Capacity(ies) Claimed by Signer
Signer's Name- Arthur Perry,_President_& Robert 0. - r • . 4IGHT THUMBPRINT 4
❑ Individual OF SIGNER Si
,h Top of Ili lb h re iv
❑ Corporate Officer—Title(s) �li
fi ❑ Partner—❑ Limited ❑ General
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❑ Attorney in Fact ,
g ,i
El Trustee ',r;I
5 ❑ Guardian or Conservator ,
I M Other Costa Mesa Sanitary ry Oiatrjct
Signer Is Representing. Costa Mesa Sanitary District
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Cr 1999 Na at No ary Assocaatwn•9350 De So PO 8o 2402•Cha ,N,CA 91313 2402•www n Icon. ary org Prod Reor Call Toll Fr 600.876.6027