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CHINN, PHILIP AND IRENE
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CHINN, PHILIP AND IRENE
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Last modified
11/27/2017 9:44:05 AM
Creation date
11/7/2017 4:51:00 PM
Metadata
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Template:
Contracts
Company Name
CHINN, PHILIP AND IRENE
Contract #
A-2017-282
Agency
PLANNING & BUILDING
Council Approval Date
10/17/2017
Destruction Year
0
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CALIFORNIA - -DOD <br />A notary public or other officer completing this certificate verifies only the identity of the individual who signed the <br />document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. <br />State of Californi'4/, ) <br />County of V (7{ <br />On 6(, Il'b, before me, a)VICi 0i6 , ')d'A,1V 4lf <br />Date / Here Insert Name and Title of the fficer <br />personally appeared r I /'J2 411 G� rl- Y �l� ( A; k7 h �- ._ <br />Signe <br />who proved to me on the basis of satisfactory evidence to be the person, whose name�is1 re <br />subscribed to the within instrumeNp� and acknowledged t me that h stleyYhe executed the same in <br />hisLher/t7 it uthorized capacity es )and that b hW-herfthei signature s) n the instrument the person <br />or the e i upon behalf of whic the person9cted, a ecuted the instrument. <br />..�.a.ay <br />SM MDDWIM <br />COOMMMISSS EIEIIN x 221106670 <br />MY COMM, EXPIRES APRIL 12, 2019 <br />Place Notary Seal Above <br />I certify under PENALTY OF PERJURY under the laws <br />of the State of California that the foregoing paragraph <br />is true and correct. <br />WITNESSmy han / d official seal. <br />Signature / ✓ <br />��._._.Signature'of otary-Publie, <br />OPTIONAL <br />Though this section is optional, completing this information can deter alteration of the document or <br />fraudulent reattachment of this form to an unintended document. <br />Description of Attached Docu ent <br />is <br />Title or Type of Document:' ocument <br />Number of Pages: Sign'er(s) Other Than I arced Above: <br />Capacity(les) Claimed by Signer(s) <br />Signer's Name: <br />❑ Corporate Officer — Title(s): <br />❑ Partner — ❑ Limited ❑ General <br />❑ Individual ❑ Attorney in Fact <br />❑ Trustee ❑ Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />Date: <br />Signer's Name: _ <br />1 Corporate Officer — Title(s): <br />❑ Partner — ❑ Limited ❑ General <br />❑ Individual CI Attorney in Fact <br />❑ Trustee Ll Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />02014 National Notary Association • www.Nationa]Notary.org , 1 -800 -US NOTARY (1-800-876-6827) Item #5907 <br />
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