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17-18568
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2017
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17-18568
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Last modified
11/6/2018 1:56:11 PM
Creation date
7/27/2018 8:45:07 AM
Metadata
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Template:
Building Department
Company Name
HARBOR FREIGHT
Building Department - Doc Type
Permit
Permit #
17-18568
Building Department - Name
ZEPHYR II LLC
Address
5915 GALL BLVD
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CALIFORNIA ALL-PURPOSE ACKNOWLEDQMENT CMI.GODE§1189 <br /> A notary publ�c ar ather offlcer completmg th�s certrf�cate ver�hes only the�dent�yr of the�ndividua(wha s�gned the <br /> document ta which this certificate�s attached,and not the truthfulness,accuraay,or valid�ty af that document. <br /> State of Califomia ) <br /> Caunty of_ E..(� �Cl£�2�.�S ) <br /> On ! � 1�11�.�� before me, rGl�l1 �. ��1,� �v ��0�l�� <br /> Date I-lere in rt Name and Trt/e of the C7�cer � <br /> personaily appeared t����ta+nn �2��f{�'� <br /> Name(s)af Signer(s) <br /> , <br /> who proved to me on the basis of satisfactory evidence ta be the persan(s) whose name(s) is/are <br /> suhscribed to the wi#hin instnament and acknowtedged to me that helshelthey executed the same in <br /> his/her/their authorized capaci#y(ies},and that by h�s/her/their signature(s)on the instrument the person(s), � <br /> or the entity upon behalf of which the person(s)acted,executed the mstrument. � � <br /> , t certify under PENALTY OF PERJURY under the laws <br /> of the State af Califomia that the foregaing paragraph <br /> is true anrf correct. <br /> ���OEUEUOMMI�� WITNESS my hand and fficial seal. <br /> r :� � Com�ta�!211i�t1 <br /> , m Nonry Pu1�is•Cf�tomh , <br /> = �,� ' l.aa Anpeles CouMfr Si nature <br /> � '' Mv Comm �at tte� 13 2G10 � <br /> . < ,� Sfgnature of Notary Pub/ic <br /> Place Notary Seal Above � <br /> OPT/ONAL _ <br /> i"hough this section!s vptional, comp/eting this information can deter alteration of the document or <br /> fraudulent reattachment of fhis form to an unintended document. <br /> Desaription of Attached Document <br /> Title or Type of Document: l�L�h(�Q D'� _�71WIAI�!'�U}'��` Document Date: V1��`�'�� <br /> Number of Pages: _,�,_ Signer(s} Other Than Named Above: <br /> C acPiy(ies)Claimed by Signer(s) <br /> Sign 's Name: ' er's Name: <br /> ❑Co rate Officer — Title(s): ❑Co rate Officer — Title(s): <br /> ❑Partner ❑l.Imited ❑General O Partner Eimited ❑General, <br /> ❑Individual ❑Attomey in Fact ❑Individual Attomey in Fact <br /> ❑7rustee uardian or Conserva#ar ❑Trustee ❑ ugrciian ar Canservator <br /> ❑Other: _ ❑ Other: � <br /> Signer Is Representing: S�gner !s Representing: <br /> � <br /> 02Q14 National Notary Associatiart*www.Nationall�otary.org•1-800-US NOTARY{1-800-876-6827} �em#59Q7 ' <br />
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