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2017-08-28_REVISION - M1982020
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2017-08-28_REVISION - M1982020
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Entry Properties
Last modified
6/16/2021 2:26:02 PM
Creation date
8/29/2017 8:02:46 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1982020
IBM Index Class Name
REVISION
Doc Date
8/28/2017
Doc Name
Application
From
ALSH, LLC
To
DRMS
Type & Sequence
SO3
Email Name
DMC
GRM
BJC
Media Type
D
Archive
No
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CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE§8202 <br /> Cts//t.at�.-Ct� .�t •s�Nat t t! t�-�`tt!Tt !:Ct •;:�t tt!��t t t! t-C< �ctt� Cwt t t t C. <br /> L�'See Attached Document(Notary to cross out lines 1-6 below) <br /> Ll See Statement Below(Lines 1-6 to be completed only by document signer[s], not Notary) <br /> Signature of Document Signer No. 1 Signature of Document Signer No. 2 (if any) <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 Subscribed and sworn to (or affirmed) before me <br /> County of -�c.a r, <br /> on this 225 day of A.30vSt-- , 20 n <br /> by Date Month Year <br /> (1) S ?\nes-\ - 5 c \ <br /> (and (2) ), <br /> HOLLY J.GLAVINIC Name(s) of Signer(s) <br /> � � .• Notary Public-California Z <br /> San Diego County > <br /> Commission#2184685p roved to me on the basis of satisfactoryevidence <br /> My Comm.Expires Mar 25,2021 <br /> to be the person(s) who appeared before me. <br /> Signaturej` <br /> ''Si <br /> Signa ure of NotaryPublic <br /> 9 <br /> Seal <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 Document <br /> f�F�.do...h of f +o�k1 <br /> Title or Type of Document:-5,c o " S-�ros�.,o& 1.401.ro,1. Document Date: LAc‘ <br /> Number of Pages:2 Signer(s)Other Than Named Above: /VI Ac <br /> ©2014 National Notary Association •www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item #5910 <br />
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