Laserfiche WebLink
CITY OF SANTA ANA <br />Planning and Building Agency <br />CALIFORNIA ACKNOWLEDGMENT <br />Approved <br />FOR PERMIT ISSUANCE'S <br />Master ID: <br />ViLtPODE § 1189 <br />A notarypublic or other officer completing this certificate verifies only the identityof the individual who signed the document <br />to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. <br />State of California 1 <br />County of 4-oth 12ernctrd i (Io J} <br />Or1;��t 1 UJZL before me, I Y(0 I C. <br />Date A , , f i — Olere Insert,Name and Title of thJ Officer <br />personally appeared <br />Name(s) of Signer(s) <br />who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed <br />to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their <br />authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity <br />upon behalf of which the person(s) acted, executed the instrument. <br />ADRIANA BATRES <br />*my <br />Notary Pubik - Callfornia <br />_San Bernardino County <br />Commission # 2473061 <br />Comm. Expires Nov 21, 2027 <br />�v <br />Place Notary Sea/ and/or Stamp Above <br />I certify under PENALTY OF PERJURY under the <br />laws of the State of California that the foregoing <br />paragraph is true and correct. <br />WITNESS my hand and official pal. <br />Signature <br />Signature of Notary Public <br />Vr 1 IVIVf1L <br />Completing this information can deter alteration of the document or <br />fraudulent reattachment of this form to an unintended document. <br />Description of Attached <br />Title or Type of D' i mei <br />Document Date Y/ <br />Signer(s) Other Than Named Above: <br />Capacity(ies) CIy* e siggeryw! <br />Signer's Name: <br />❑ Corporate Officer — Title(s): <br />❑ Partner — ❑ Limited ❑ General <br />❑ Individual ❑ Attorney in Fact <br />❑ Trustee ❑ Guardian or Conservator <br />❑ Other: <br />Signer is Representing: <br />©2019 National Notary Association <br />%"? <br />NulberfofPages: <br />Signer's Name: <br />❑ Corporate Officer — Title(s): <br />❑ Partner — ❑ Limited ❑ General <br />❑ Individual ❑ Attorney in Fact <br />❑ Trustee ❑ Guardian or Conservator <br />rl Othpr- <br />Signer is Representing: <br />