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Order No. <br />Escrow No. <br />Project No. <br />RECORDING REQUESTED BY <br />CITY OF SANTA ANA <br />GOVT. CODE § 6103 <br />WHEN RECORDED MAIL TO: <br />City of Santa Ana / Housing <br />20 Civic Center Plaza / Third Floor / M-26 <br />Santa Ana, CA 92701 <br />NOTICE OF COMPLETION - <br />NOTICE IS HEREBY GIVEN THAT: <br />1. The undersigned is OWNER or agent of the OWNER of the interest or estate stated below in the property hereinafter <br />described. <br />2. FULL NAME of the OWNER is: <br />3— The FULL ADDRESS of the OWNER is: <br />4. The NATURE OF THE INTEREST or ESTATE of the undersigned is: In Fee <br />(If other than fee, strike"—in—fee- and insert, for example, "purchaser under contract of purchase", or "lessee".) <br />5. The FULL NAMES and FULL ADDRESSES of ALL PERSONS, if any, WHO HOLD SUCH INTEREST or ESTATE with <br />the undersigned as JOINT TENANTS or as TENANTS IN COMMON are: <br />NAMES ADDRESSES <br />6. The FULL NAMES and FULL ADDRESSES of the predecessors in interest of the undersigned if the property was <br />transferred subsequent to the commencement of the work of improvement herein referred to: <br />NAMES ADDRESSES <br />7._A work of improvement on the property hereinafter described was COMPLETED: <br />8_The work of improvement completed is described as follows: <br />9. The NAME OF THE ORIGINAL CONTRACTOR, if any, for such work of improvement is: <br />10. The street address of said property is: <br />11. The property on which said work of improvement was completed is in the CITY OF SANTA ANA, County of Orange, <br />State of California, and is described as follows: <br />Date <br />Printed name of OWNER or AGENT of OWNER <br />Signature of OWNER or AGENT of OWNER <br />Verification for INDIVIDUAL owner: _ <br />I the undersigned declare under penalty of perjury under the laws of the State of California that I am the owner of the <br />aforesaid interest or estate in the property described in the above notice. I have read said notice and I know and understand <br />the contents thereof, and that the facts stated therein are true and correct. <br />Printed name of OWNER named in paragraph 2 <br />Date and Place Signature of OWNER named in paragraph 2 <br />Verification for NON -INDIVIDUAL owner: I the undersigned declare under penalty of perjury under the laws of the State of <br />California that I am the of the aforesaid interest or estate in the property described in <br />President, Partner, Manager, Agent, Etc." <br />the above notice; that I have read the said notice, that I know and understand the contents thereof, and that the facts stated <br />therein are true and correct. <br />Date and Place <br />1054(3/81) <br />Printed name of person signing onbehalf of OWNER <br />Signature of person signing on behalf of OWNER <br />