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2014-08-19_PERMIT FILE - M2014028
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2014-08-19_PERMIT FILE - M2014028
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Last modified
8/24/2016 5:46:50 PM
Creation date
8/22/2014 8:48:09 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2014028
IBM Index Class Name
PERMIT FILE
Doc Date
8/19/2014
Doc Name
112 Construction materials reclamation permit preliminary adequacy review
From
Gagliano Engineering, Inc
To
DRMS
Email Name
TOD
Media Type
D
Archive
No
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CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT <br />CIVIL CODE § 1189 <br />5c�.�rr� �, Max; ��aGr. �c�r. �rcccrzr�rcr. �rss�s. �resar, �r�, �ccs,�r.�caacr.�:ccz.�:c�c;�:r„ <br />State of California n <br />County of u-US 17�1C���S <br />On �X/l ! % before me, �GC�% <br />Date Herd nsert Name and Title of the Officer <br />personally appeared PC) <br />YOUNG H. SHIN <br />,_.. <br />Commission # 1937866 <br />-a Notary Public - California z <br />z Los Angeles County <br />My Comm. Expires Jun 19, 2015 <br />of Signer(s) <br />who proved to me on the basis of satisfactory <br />evidence to be the person whose name(a) &am <br />subscribed to the wjlhin instrument and acknowledged <br />to that t /$he7thky executed the same in <br />hZ /1e /th it autho`�ized capacity(i96), and that by <br />t} s /rfey, tl eir signature) on the instrument the <br />pers n(6), or the entity upon behalf of which the <br />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 my hand and icial seal. <br />Place Notary Seal Above Signature: <br />ISignature Gf Notary Public <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. n <br />Description of Attached Document ��, pCi`!t t ���h ce, cti o teak V e(,A'CW(r <br />Title or Type of Document: CC'G'L fG" ' Document Date: LI" v <br />Number of Pages cr igner(s) Other Than Named Above: <br />� c t. <br />Capacity(ies) Claimed by Signer(s) <br />Signer's Name: Signer's Name: <br />f I Corporate Officer — Title(s): Corporate Offic — Title(s): <br />C Partner — Limited General ._ • Partner — ' imited General <br />Individual C Attorney in F44 Individual Attorney in Fact <br />Trustee Guardian or onservator Trustee Guardian or Conservator <br />Other: Other: <br />Signer Is Representing: <br />Is Representing: <br />© 2013 National Notary Association • www.NationalNotary.org • 1- 800 -US NOTARY (1 -800- 876 -6827) Item #5907 <br />
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