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CITY OF SANTA ANA <br />- PROJECT NO. 1 16734: CHESTNUT AVE. FROM STANDARD AVE. TO ELK LN. <br />PROPOSAL AND CONTRACT AGREEMENT <br />CONTRACTOR'S LICENSING STATEMENT <br />The ,undersigned contractor, or corporate officer, declares under penalty of perjury that the <br />following is true and correct. <br />Contractor's Name: ����� �p�j�p� 5�.� y �`� �'hC <br />,, <br />Business Address: \3Zp � ��� 5� � \0� � `o�0'�c�0.� �� �"���q <br />Telephone: <�S� -Z�q— ���`\ \ <br />State Contractor's License No. and �Z_0�� <br />Class: <br />Expiration <br />Date: ����� 3 <br />Signed: <br />Title: <br />av��� <br />BP 13 of 13 <br />