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2018-09-10_REVISION - M1991082 (5)
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2018-09-10_REVISION - M1991082 (5)
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Last modified
12/28/2024 3:49:56 AM
Creation date
12/5/2018 2:30:23 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1991082
IBM Index Class Name
REVISION
Doc Date
9/10/2018
Doc Name
Application
From
Tiger Timber & Gravel
To
DRMS
Type & Sequence
SO3
Email Name
BJC
Media Type
D
Archive
No
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 <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 /> C <br /> State of California ) w <br /> County of <br /> On cx before me, L a i.1 t'f, o 'm <br /> Date Here Insert Name and Title of the Officer <br /> personally appeared ( rZA U1uy hy-P4 <br /> Name(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 <br /> subscribed to the within instrument and acknowledged to me that he/she/they executed the same in <br /> his/her/their authorized capacity(ies), and that by his/her/their signature(s)on the instrument the person(s), <br /> or the entity upon behalf of which the person(s) 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 official seal. <br /> LAURA J. BOTTOM Signature . Cs� <br /> Notary Public -Cahfornia Signature of Notary Public <br /> Z Butte County i <br /> Commission #t 2168163 <br /> M Comm.Ex ices Oct 15,2020 <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 /> Title or Type of Document: Document Date: <br /> Number of Pages: Signer(s) Other Than Named Above: <br /> Capacity(ies) Claimed by Signer(s) <br /> Signer's Name: Signer's Name: <br /> l Corporate Officer — Title(s): Corporate Officer — Title(s): <br /> i Partner — ' Limited ' General Partner — I Limited General <br /> Individual Attorney in Fact Individual Attorney in Fact <br /> Trustee Guardian or Conservator Trustee Guardian or Conservator <br /> Other: Other: <br /> Signer Is Representing: Signer Is Representing: <br /> 02014 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY(1-800-876-682 7) Item #5907 <br />
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