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((~~,~ <br />t ~~ <br />;'~, <br />CITY OF SANTA ANA <br />Housing & Neighborhood Development <br />20 Civic Center Plaza / 3`tl Floor / P.O. Box 19881 M-26 /Santa Ana, CA 92702 <br />(714) 667-2250 <br /> <br />LIEN RELEASE <br />Developer: ANR Homes, Inc. <br />Project Address: <br />CONDITIONAL WAIVER AND RELEASE UPON PAYMENT <br />I (We) hereby expressly release the CITY OF SANTA ANA (hereinafter referred to as CITY) from any and all liability, and <br />do hereby expressly waive and release all lien rights that the undersigned has or may have in or to the property located at <br />Upon receipt of a check in the amount of <br />payable to ANR HOMES, INC. and when the check has been <br />properly endorsed and has been paid by the bank upon which it is drawn, this document shall become effective to release <br />pro tanto any mechanic's lien, stop notice, or bond right the undersigned has on the job located at the above project <br />address. This release covers a payment for labor, services, equipment, or material and does not cover any retention or <br />items furnished after said date. Before any recipient of this document relies on it, said party should verify evidence of <br />payment to the undersigned. <br />Date Developer (Company Name) <br />Print Name /Title <br /> Signature <br />THE UNDERSIGNED HAVE PERFORMED LABOR FOR WAGES ON THE PROJECT DESCRIBED ABOVE AND HAVE <br />BEEN PAID IN FULL TO DATE. <br />Date Signature of Individual <br />Date Signature of Individual <br />Date Signature of Individual <br />Date Signature of Individual <br />Date Signature of Individual <br />Date Signature of Individual <br />Date Signature of Individual <br />[ ]Progress Payment # <br />[ ]Final Payment <br />May 2009 <br />