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20-22219
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2020
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20-22219
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Last modified
3/25/2021 10:23:25 AM
Creation date
3/24/2021 1:18:34 PM
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Building Department
Building Department - Doc Type
Permit
Permit #
20-22219
Building Department - Name
SHARMA,ROSHNI
Address
38541 8TH AVE HISTORIC
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OR BK 10038 PG 3278 Page 2 of 2 <br /> CALIFORNIA ACKNOWLEDGMENT CIVIL CODE g 1189 <br /> A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document <br /> to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. <br /> State of California ( � <br /> County of S w S - r <br /> On f1(A r um before me, �,ya Lwyy 'L�j <br /> Date Here Insert Name and Title of the Officer <br /> personally appeared "'`�" n 1 <br /> Nome(s)of Signer(s) <br /> who proved to me on the basis of satisfactory evidence to be the person(s)whose name(s)is/are subscribed <br /> to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their <br /> authorized capacity(ies),and that by.his/her/their signature(s)on the instrument the person(s),or the entity <br /> upon behalf of which the person(s)acted,executed the instrument. <br /> &® ' <br /> I certify under PENALTY OF PERJURY under the <br /> laws of the State of California that the foregoing <br /> TARA LUONG paragraph is true and correct <br /> °• Notary Public•California m 4`��L - � <br /> Las Angeles County s WITNESS my hand and official seal. J ��IN <br /> z Commission#2280154 <br /> My Comm.Expires Mar 9,2023 <br /> 4 <br /> o <br /> Signature <br /> Place Notary Seal and/or Stamp Above Signature of Notary Pu lic <br /> OPTIONAL <br /> Completing this information can deter alteration of the document or <br /> fraudulent reattachment of this form to on unintended document ¢ d-; ui <br /> Description of Attached Document 1 {�� w U- v <br /> pCD -e-1 <br /> Title or Type of Docume t. "'di`� ( vmwievi cvn eh+ ® Z �v� c14 <br /> Document Date: a 2D20 NumberofPages: ) 0 n P w o <br /> U <br /> Signer(s)Other Than Named Above: 0 z <br /> Chu-. �- OCj; cot <br /> x <br /> Capacity(ies)Claimed by Signer(s) ;U O � W <br /> Signer's Name: Signer's Name: :3 P a w O <br /> ❑Corporate Officer-Title(s): ❑Corporate Officer-Title(s): O O O cn <br /> 0 a r_) 0Z w <br /> ❑ Partner- ❑ Limited El General ❑ Partner- ❑ Limited ❑ General t- Q -� <br /> ❑ Individual ❑ Attomey in Fact ❑ Individual ❑ Attorney in Fact CQ3 w m o n o <br /> ❑ Trustee ❑ Guardian or Conservator ❑ Trustee ❑ Guardian or Conservator F- a W r I>- <br /> ry <br /> ❑ Other: ❑ Other. ® w O C) y ;p w <br /> Signer is Representing: Signer is Representing: WOO Cr Z X <br /> U) Q J W <br /> Ln uJ <br /> Q — MzL7 �i <br /> ©2018 National Notary Association F=- Cr 5 i Z m <br />
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