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Notice of Completion - CIP 311 Phase 8 - 2022-11-01.3µ0 EXEMPT RECORDING REQUESTED PURSUANT TO SECTIONTrtd3; Z-1 GOVERNMENT CODE AND WHEN RECORDED MAIL TO: NOELANI MIDDENWAY CLERK OF THE DISTRICT COSTA MESA SANITARY DISTRICT 290 PAULARINO AVENUE COSTA MESA, CA 92626 ONLY Recorded in Official Records, Orange County Hugh Nguyen, Clerk -Recorder 11111111111111111111IIII1111111111111111111111111IIIIIIIIIIIIIIIIII NO FEE *$ R 0 0 1 4 0 4 0 4 3 0$ 202200035166511:30 am 11101/22 340 414A N12 3 0.00 0.00 0.00 0.00 6.00 0.00 0.000.000.00 0.00 THIS SPACE FOR RECORDER'S USE 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 290 Paularino Avenue, Costa Mesa, CA 92626. 4. The nature of the title of the undersigned is owner of sanitary sewer main line facilities subject to the following project: #311 Sewer Manhole Surface Repairs Phase 8 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 A work of improvement on the property hereinafter described was completed on or around September 15", 2022. 3P �Jf 8. The name of the contractor, if any, for such work of improvement was: Manhole Adjusting, Inc. 9500 Beverly Rd. Pico Rivera, CA 90660-2135 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: Rehabilitation of sewer manhole surface area to industry standard. 10. The street address of said property is: 19 locations in the City of Costa Mesa. DATED this 20'h day of October 2022. ATTEST: COSTA MESA SANITARY DISTRICT h5eta WmT SCOTT CARROLL, GENERAL MANAGER ERK/PIO PENALTY OF PERJURY VERIFICATION I, the undersigned state; that I have read the foregoing document, and know the contents thereof, and that the facts therein stated are true of my own knowledge. I declare under penalty of perjury that the foregoing is true and correct. Executed at , California, On NOUWOUC � , 20 222 Signature name of c6rporation, partnership, etc., W JeVa CoiU-YiYl