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WOOD, ERIK ROBERT
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WOOD, ERIK ROBERT
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Last modified
3/28/2018 1:07:25 PM
Creation date
3/28/2018 10:30:37 AM
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Template:
Contracts
Company Name
WOOD, ERIK ROBERT
Contract #
A-2017-275
Agency
PLANNING & BUILDING
Council Approval Date
10/17/2017
Destruction Year
0
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL <br />CODE <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 California ) <br />County,of Oyq&LQ G�) <br />On D!KAWh I( MZT(7 before me, �/iJV�A Of4 SAN N <br />Date 1 rH/ere Insert Name and Title of the fficer <br />L.. <br />personally appeared VI << %il�� W T <br />Name(K) of Signerf4 <br />who proved to me on the basis of satisfactory evidence to be the person(s) whose name(,$)i ace <br />subscribed to the within instrument and acknowledged to me that sbeklaey executed the same in <br />li /hea#rL c authorized capacity(iej, and that by 01 signature ) on the instrument the person(s), <br />or the entity upon behalf of which the person( acted, executed the instrument. <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 />WITNESS mZaand, <br />official seal. <br />SONA MOORAp1ANNOTARY PUBLIC -CALIFORNIACOMMISLOS SEON N LES 211066 0 Signature <br />MY COMM. EXPIRES APRIL 12, 2019Signa <br />Place Notary Seal Above <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 Docum t <br />Title or Type of Document: YI Document <br />Number of Pages: Signer(s) Other an Named Above: <br />Capacity(ies) 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 />CI Corporate Officer — Title(s): <br />❑ Partner — ❑ Limited ❑ General <br />❑ Individual ❑ Attorney in Fact <br />❑ Trustee ❑I Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />•✓6'tl '!1✓G'dG'✓- �GV e� <br />L00141kE, ILI M11@10• • • no LI no d••� :11 a I s2k, <br />0Lei '• :11 ..: •1 <br />
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