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101106694 - Permit
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101106694 - Permit
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Last modified
10/5/2021 9:37:30 AM
Creation date
9/30/2021 3:07:29 PM
Metadata
Fields
Template:
Permit
Permit Number
101106694
Full Address
3709 S Alder St
Permit ID
275178
Master ID Number
2021-166201
Project Name
SFR - Attached Patio Cover
Street Number
003709
Street Direction
S
Street Name
Alder
Street Suffix
St
Building Use Code
Resid-1 unit
Job Types
Patio Cover
Permit Type
Building
Applied Date
5/18/2021
Issued Date
8/17/2021
Finalized Date
9/20/2021
Flood Zone
X-0602320278J
Description of Work
Install attached patio cover.
Nature of Work
Patio Cover
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t <br />CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE g 8202 <br />f. <br />ij See Attached Document (Notary tc cross out lines 1-6 below) <br />tr See Statement Belour (Lines 1-6 to be completed only by document signer[s], not Notary) <br />Signoture of DocLrment Signer No I Signature of Document Signer No. 2 (if ony) <br />A notary public or other officer completing this certificate verifies only the identity of the individualwho signed the document <br />to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. <br />State of Ca iiforn ia Subscribed and sworn to (or affirmed) before me <br />\.)t '(': ,' 'l-'! i' ,1 /'A' <br />on this ' day of <br />by Dote <br />! r ,'_ r'l !. <br />, <br />Month <br />2 Ir- <br />Cou nty of <br />Yeor <br />(1)V ,\',\ | elfi'i i^r'" a-'4'r- -"r <br />(and (2)), <br />YVETTE LEE <br />Notary Public - Californja <br />Los Angeles Ccunty <br />Comrnission # 221ffi97 <br />tuly Comnr. Expires Cct 2, 2O2l <br />Nome(gfI of / <br />Signer$) <br />proved to me on <br />be the persoy's) <br />of sati sfactory evidence to <br />a d before <br />Signature <br />Ploce Notory Seo/ ond/or Stomp Above of No <br />OPTIONAL <br />Completing this informotion con deter olterotion of the document or <br />froudulent reottochment of this form to sn unintended document. <br />Description of Attached Document <br />Title or Type of Document:f i,u'r,vTr \rr ,, ', 1., ) lt \ h AAY I k <br />il v ( <br />Docu ment Date.Number of Pages: <br />Signer(s) Other Than Named Above <br />, 2017 National Notary Association <br />)\ <br />-/ \-/'- <br />I <br />?(tA
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