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CITY OF SANTA ANA <br />Planning and Building Agency <br />Approved <br />FOR PERMIT ISSUANCE <br />ACKNOWLEDGMENT Master ID: <br />Date: <br />A notary public or other officer completing this <br />certificate verifies only the identity of the individual <br />who signed the document to which this certificate is <br />attached, and not the truthfulness, accuracy, or <br />validity of that document. <br />State of California <br />County of Los Angeles <br />On December 10, 2025 before me, Samantha Jimenez - Notary <br />(insert name and title of the officer) <br />personally appeared Kathleen J. Hargrave- President/Secretary <br />who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are <br />subscribed to the within instrument and acknowledged to me that he/she/they executed the same in <br />his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the <br />person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. <br />I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing <br />paragraph is true and correct. <br />�.'tjHA jj 111` <br />1 <br />gZ4986. Fiyi <br />� Rry P0,6 F� <br />L OF, <br />WITNESS my hand and official seal. <br />u ti <br />o <br />r a <br />' C,[IFOVL <br />�(.w °m C'44/FOPN�P O �b , <br />Signature (Seal) o� Angeles Co 3; <br />g ��� Exp. N°` ``�� <br />