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COLLINS, JACOB AND VANESSA
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COLLINS, JACOB AND VANESSA
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Last modified
4/27/2022 5:29:54 PM
Creation date
12/6/2021 3:06:06 PM
Metadata
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Template:
Contracts
Company Name
COLLINS, JACOB AND VANESSA
Contract #
A-2021-155
Agency
Planning & Building
Council Approval Date
8/17/2021
Destruction Year
2031
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 <br />N notary public or other officer completing this certificate verifies only the identity of the individual who signed the <br />document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. <br />State of California ) <br />County Owl �,of� _ () r <br />On . /5 A 1 t�. before me, r J 4-f2bh7T G . ` pirre)r'/� 104141 C <br />Date Here Insert l yame, a9d Title of the/Offic�gr` <br />personally appeared C16 rG L C ! ti Lf e va f) e tr� <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 />SUSANNE H. FERREIRA <br />F COMM ... 2326522 00 <br />m NOTARY ORANGEICOUNInFORNIA W <br />QMy Term Exp. May 13, 2024 6 <br />I certify under PENALTYOF PERJURY under the laws <br />of the State of California that the foregoing paragraph <br />is true and correct, <br />WITNESS my hand and official seal, <br />Signature <'4L4¢ r +' <br />Signature of Notary Public <br />Place Notary Seal Above <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 Document <br />Title or Type of Document: Document Date: <br />Number of Pages: Signer(s) Other Than Named Above: <br />Capacity(ies) Claimed by Signer(s) <br />Signer's Name: <br />0 Corporate Officer — Title(s): _T <br />❑ Partner — ❑ Limited D General <br />• Individual F] Attorney in Fact <br />❑Trustee 0 Guardian or Conservator <br />• Other: <br />Signer is Representing: <br />Signer's Name: _ <br />D Corporate r Officer — Title(s): <br />Partner — 1-3 Limited El General <br />1=1 Individual Li Attorney in Fact <br />❑Trustee Li Guardian or Conservator <br />❑ Other. — <br />Signer Is Representing: <br />02014 National Notary Association • www.NationaiNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907 <br />
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