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PIANNIN6 & <br />f() rror 133 r 5a.riAnr..d fo,r i 17l02 <br />1*e !.r.,. in,r orq !bi <br />NOTICE TO PROPERTY OWNER <br />Dear Prcperly Owner <br />An appr,calon ior a bu li 19 pern ,t has l).:en subnr'ited r. you. name |lsrrng yoursell as ihe burEer of <br />rmp.oveme.ls spe.nod ar <br />We wrllnol rssue a burh.g oerm( !niryou have read frlint.{ your undorstandDg of each provbon, g&trad. <br />thrs lorm Io us at our offcial add.pss ndrcaled A^ agert ol he owner cannot erecule thls nol,ce uales3 yotr! <br />o$'ier. obtain lhe pno. approvarof ih. De.nr ltnq dolhorry <br />OWNER'S ACKNOWLEDGMENT D VERIFICATION OF INFORMATON <br />DtB€a llO\5 e. r: ., r: ir i r, crL i, :,tt\ irttn b.lae ta snJnly you rntl.t.tr d at venly this ,.{at,,attan. <br />/ /.1,ln -..:' <br />/l/ <br />I Ji...s:":i: :., . -:: : ,'r :s a'e nol reqfed lo be srlned by prope.ly o$.ers u.iess lhey a.e responsble lor <br />nstruci'or a.a a:e _ci t-.q a lrc€nsed Conlraclor to assume lhis r6sponsrbrl(y <br />fu{ , "- r"-. eL ..r :r.r llre reseons b,e carly cr record o. lhe ,ermr! I undersland lhat I may <br />A#:::,1 :: <br />' -' 'v n: ns a rcensed conrracror 3nd navrnc Ihe permi! tijed rn hrs or har nama <br />I ondet.,ta- - afi! e.i..s 2re req L .ed by layl io be licen sed and bonded ln California and to list thojr liconsa <br />omerm l5; r :j. aLis <br />lnCe,sia.J : , r:rl ot or otheB se enoaqe a.y persons other lhan Cal ornre [censed Conlractors, and lho <br />ofmt:c.!,:-Liri sar easl lve r)Lrnored dolars (55,00) riclud ng labor and materrals l may b€ consideaed an <br />Nnl)et 3.a,e..a leNe'lt an <br />llndersir,rd, an a..saerccan employer unde. slale and Federallaw lmusl regislorwilh lh€ slate and <br />govenmenl, ulhhold payrolllares P rovrde workers componsalon disability rnsulanco, and contributr to <br />compensal@n ol each'empJoyee I atso undcrsland my larlure to abide by lhese la' s may subJect m€ to <br />Ln.tErsrend !nder Calforn13 Conlraclors' State L cense Law an OwneFBuild6r who bu lds single'fam y <br />struclures cannoi egaliy b!rld lhem wlh lhe Inlenl lo off€r them for sale, unless a//work is performed by <br />SANTA ANA CITY COUNCIL <br />I <br />Scanned with CamScanner <br />./..t2 <br />ct