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CITY OF SANTA ANA <br />Planning" and Building Agency <br />CALIFORNIA ALLUPURPOSE ACKNOWLEDGMENT <br />4 <br />FOR PERMIT ISSUANCE <br />RYA t e CO.! <br />A notary public or other officer completing this certificate verifies only the identity of the individmil <br />document to which this certificate is attacheranrr,r t the ttt,fiAme. arri irary nr valirlity of +hit rinr%"mnnt <br />State of Ca <br />County of <br />lifornia <br />On JAN U A g=4Z 13 202 b <br />6ate <br />personally appeared <br />before me, <br />y, y <br />N CITY <br />9 <br />• <br />� Nf*T* LIAIV A 1 Nosey Fba (two C <br />Here Insert Name and Title of the Officer <br />"16 <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 <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 person(s), <br />or the entity upon behalf of which the person(s) acted, executed the instrument. <br />certify under PENALTY OF PERJURY under the laws <br />of the State of California that the foregoing paragraph <br />is true and correct. <br />• 4 MULQf y rLiVIrL. " %01111VI 1110 <br />Los Angeles County <br />Place Notary Seal Above <br />WITNESS my hand and official seal. <br />Signature <br />Signature <br />otaty Public <br />OPTIONAL <br />Though this section is optional, completing this information can deter alteration of the document or <br />fraudulent reattachment of this form to an unintended document. <br />Description of Attached Documej <br />Title or Type of Document: -A)-Wq� <br />Number of Pages: / Signe <br />t <br />r(s) Other <br />Capacity(les) Claimed by Signer(s) <br />Signer's Name:..., aot NWAM A W 0 <br />2 Corporate Officer — Title(s): Tgfffij <br />O Partner — O Limited <br />D Individual <br />O Trustee <br />El General <br />LJ Attorney in Fact <br />O Guardian or Conservator <br />E Other: <br />Signer Is Representing: <br />VK-a' A&4MX(4-1zAWocument Date: <br />Than Named Above: <br />Signer's Name: <br />1:1 Corporate Office <br />EJ Partner — ❑ Li <br />1:1 Individual <br />0 Truste <br />r - S): <br />d L01 General <br />El Attorney in Fact <br />❑ Guardian or Conservator <br />O O r: <br />S er Is Representing: <br />• w�cdvc�.•cec,^roc.^cx sx^sdxx,^s:<>�c�c.,s;c,�cxxx.�c.^ws�.Y v�s c^ct.^u,�.�c^s�ca�:c.�:csw;o�c^s�xn c.�s cr <br />02014 National Notary Association • www.NationalNotary.org • 1-800-US N01ARY (1-800-876-6827) Item #5907 <br />