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25G - AGMT - INCLUSIONARY HOUSING 1206 N HARBOR
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25G - AGMT - INCLUSIONARY HOUSING 1206 N HARBOR
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Last modified
2/12/2015 5:27:42 PM
Creation date
2/12/2015 5:08:27 PM
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City Clerk
Doc Type
Agenda Packet
Agency
Community Development
Item #
25G
Date
2/17/2015
Destruction Year
2020
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IV. PROPERTY OWNER'S AFFIDAVIT <br />I hereby certify that I am the legally authorized owner of all property involved in this <br />application or have been empowered to sign as the property owner on behalf of a <br />corporation, partnership, business, etc., as evidenced by separate instrument attached <br />herewith. I herby grant to the applicant submitting this form full power to sign all <br />documents related to this application, including any conditions or litigation measures as <br />may be deemed necessary. <br />I declare under penalty of perjury that the foregoing is true and correct. <br />Executed on (Date) \� I %Zl I <br />Property Owner's Signature <br />_ at Tustin California <br />Printed Name Todd Cottle, Authorized Signatory, C &C N Harbor, LLC <br />* See attached authorization from C. J. Skirvin and Daisie Frances Skirvin Family <br />V. APPLIC/ Trust, dated January 28, 1981 <br />1 hereby certify that the statements furnished above and in the attached exhibits <br />represent the data and information required for this initial evaluation and that the facts, <br />statements and information presented are true and correct to the best of my knowledge <br />and belief. Further, should the stated information be found false or insufficient, I agree <br />to the return of this form for appropriate revisions, understanding the City of Santa Ana <br />cannot process this form until all applicable information is corrected or provided by the <br />applicant. I herby certify that I have been legally authorized by the property owner to <br />present this application and to sign on behalf of all documents related to this application, <br />including any conditions or litigation measures as may be deemed necessary. <br />Note: When the applicant is a corporation, partnership, business, etc., a separate <br />document verifying the authorization to sign for such applicant is required. <br />I declare under penalty of perjury that the foregoing is true and correct. <br />Executed on (Date) I at - CvS-GN California <br />Applicant's Signature <br />Applicant's Printed Name Todd Cottle, Authorized Signatory, C &C N Harbor, LLC <br />Incluslonary Housing Plan — Ownership Project Page 4 <br />Santa Ana, California August 11, 2014 <br />25G -26 <br />
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