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DZAMA, CHARLES JUDE & ANGELA DAWN-2014
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DZAMA, CHARLES JUDE & ANGELA DAWN-2014
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Last modified
1/13/2015 1:10:47 PM
Creation date
1/13/2015 10:11:21 AM
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Contracts
Company Name
DZAMA, CHARLES JUDE & ANGELA DAWN
Contract #
A-2014-331
Agency
PLANNING & BUILDING
Council Approval Date
12/2/2014
Expiration Date
12/2/2024
Destruction Year
2029
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CALIFORNIA ALL-PURPOSE <br />State of Caiifo nia <br />County of _ <br />personally <br />who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) #are subscribed to <br />the within instrument and acknowledged to me that Kelsl�61they executed the same in 11isA# /their authorized <br />capacity(ies), and that by Ifs /her /their signature(s) on the instrument the person(s), or the entity upon behalf of <br />which the person(s) acted, executed the instrument. <br />I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph <br />is true and correct. <br />-- � SMITH <br />SS iriy hand and official seal. COMMISSION #2054292 <br />NotOs ANGE COUNTY <br />nia <br />My Commission Expires <br />Si atureofmomryPublic (No an JANUARY 29, 2016 <br />DESCRIPTION OF THE ATTACHED DOCUMENT <br />#/S ,'eL -) Otte ee?z - <br />(Title ordeseriptionofattacheddocument) <br />Wyk 6W2-6-Z--7ne7161 <br />(Title ordescriptian orattacltcd docuWard continued) <br />Number of Pages IL Document Date / / <br />(Additional information) <br />CAPACITY CLAIMED BY THE SIGNER <br />• <br />Individual (s) <br />• <br />Corporate Officer <br />(Title) - ,( <br />• <br />Partner(s) <br />• <br />Attormay -in -Fact <br />• <br />Trustee(s) <br />❑ <br />Other <br />2008 Version CAPA v12.10.07 800. 873 -9865 wwm.NotaryCiasses.com <br />INSTRUCTIONS FOR COMPLETING THIS FORM <br />Any acloovledgmenr completed in California must contain verbiage exactly as <br />appears above in the notary section or a separate aclmmwficogment form must be <br />properly completed and attached to that document TTm only erceptiom is if a <br />document is to be recorded outside ofCalfanda. In such instances, any alternative <br />acknowledgment verbiage as may be printed on such a document so long as the <br />verbiage does not require the notary to do something that is illegal for a notary in <br />California (t e. ceri6ing the authorized capacity of the signer). Please check the <br />docamentcarefullyfor proper notarial wording and attach thisforrn if required, <br />• State and County infbmmtion must be the State and County where the document <br />signer(s) personally appeared before the notary public for acknowledgment. <br />• Date of notarization must be the date that the siguer(s) personally appeared which <br />most also be the same date the acknowledgment is completed_ <br />• The notary public must print his or her time as it appears within his or her <br />commission followed by a comma and then your title (notary public). <br />• Print the name(s) of document signers) who personally appear -at the time of <br />notarization. <br />• Indicate the correct singular or plural forms by crossing off incorrect forms (Le, <br />kelshchhey, isfi ts) orcircling the correct flans. Faiture to cotrectly indicate this <br />information may lead to rejection ofdocument recording. <br />• The notary seal impression most be elm and photographically reproducible. <br />Impression must not cover text or line& if seal impression smudges, ro•seal if a <br />suaicientme,permits, otherwise complete different acknowledgment farm. <br />• signature of the notary public most match the signature on file with the office of <br />thecourayclork - <br />Additional information is not axtuired but could help to ensure this <br />acknowledgment is, not misused or attached to a different ducument <br />Indimia(ide ort pe ofattached document, number of pages and date.' <br />Indicate the capacity claimed by the signer If the claimed capacity is a <br />corporate officer, indicatethe titfe(i.e. CE0, CFO, secretary). <br />• securely attach this document to the signed document <br />
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