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FULL PACKET_2016-11-15
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FULL PACKET_2016-11-15
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11/14/2016 10:36:42 AM
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11/14/2016 10:12:50 AM
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City Clerk
Doc Type
Agenda Packet
Agency
Clerk of the Council
Date
11/15/2016
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CALIFORNIA JURAT WITH AFFIANT STATEMENT <br />N See Attached Document (Notary to cross out lines 1--6 below) <br />❑ See Statement Below (Lines 1 -5 to be completed only by document signer[s], not Notary) <br />Signature of Document Signer No 1 <br />State of California <br />County of ORANGE <br />L.EXIE SHERWOOD <br />COMM, # 2031782 F, <br />NOTARY PUBLIC- CALIFORNIA <br />ORANGE COUNTY <br />Comm. Exp. JULY 27, 2017 <br />Place Notary Seal Above <br />Signature of Document Signer No. 2 (if any) <br />Subscribed and sworn to (or affirmed) before me on this <br />30TH day of AUGUST, 2016 , by <br />Date Month Year <br />(1) CHARLES L. FLAKE <br />Name of Signer <br />proved to me on the basis of satisfactory evidence <br />to be the person who appeared before me (.) (,) <br />(and <br />(2) ✓ �✓ - <br />Name of Signer <br />proved to me on the basis of satisfactory evidence <br />to be the person who ppeared of re me.) <br />Signature Gt <br />Signal ra of Notery Public <br />Though the information below is not required by law, it may prove <br />valuable to persons relying on the document and could prevent <br />fraudulent removal and reattachment of this farm to another document. <br />Further Description of Any Attached Document <br />title or Type of <br />Document Date: <br />Signer(s) Other Than Named Above: <br />Number of Pages: <br />RIGHTTHUMBPRINT RIGHTTHUM in'INT <br />OF SIGNER q1 OF SIGNER k2 <br />02007 Natlonal Notary Association, 9350 Do Soto Ave.,P.O. BOX 2402•Chalsworlh, CA 9131 &240P•wwa.Nallona1No1ary.org Itemk5910 Reorder Call Tol6Free UE004176 -6827 <br />2U✓ -20 <br />
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