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FULL PACKET_2019-02-19
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FULL PACKET_2019-02-19
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2/20/2019 10:56:49 AM
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2/19/2019 8:20:40 AM
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City Clerk
Doc Type
Agenda Packet
Agency
Clerk of the Council
Date
2/19/2019
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CITY OF SANTA ANA <br />PROPOSAL. <br />PRO.J.tC.T. NO..' 19=64.25. <br />PARK STORMWATER CAPTURE. <br />OWNERSHIP AFFIDAVIT <br />STAr-i'llz OF CALTVO NIA I <br />COUNTY OF =3:La5 I SS: <br />r,t�.Y 00 SANT <br />being dui9zWem, depOxes hl1ds.401', <br />C] IND[VIDUAL- Thpt,lio4h4 is tlldgnrty rnAlingthp fotogung prqp9sah <br />Thatlic/gho <br />:nfl3whohas bomand.is duly.vcsted with ilia autheilty tomakdand ex0weinsirnmengs <br />tbx the&-pu(iter.ship ¢Y*,. <br />;000 VOT L �10N T hat be ls:of,, <br />[130INTYENTUM That he.is - of., <br />ane Of the pffmi s malng thefarngaing.pxnposal <br />ag.a joii venture, and the helshe lins- <br />becn.md is 'dul : vested vvilh the u.uihorlry to exce�iic Illmnimenis 5t:aii an behalf' oe fW <br />pgrtlpd malcl;* said whe wc. <br />that such a 151d is genuine .and not colhisive at, shitin, and has not in any mariner sbuglit by <br />the City of Santa Ana &I T1 I y pctsan. interested iii, the <br />proposod cd him.8clf or agyotbctr pc> son.. <br />der <br />c <br />Stibsprib.-ed. and. swom t.Q..be?bre.mc: this du of 1.0 <br />4nx Apo 4' <br />Si 6 -Lirt of officer Aditiiilst6ring Oith (NaT -,.1 1 <br />at <br />M 4P -j 6 <br />20C-21 <br />
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