West Bend 74706 Bedienungsanleitung PDF herunterladen (Seite 6)

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F. APPLICANT'S AFFIDAVIT

Under penalty of perjury, the following declarations are made:

a. The undersigned is the owner or lessee if entire site is leased, or authorized agent of the owner

with power of attorney or officers of a corporation (submit proof).

-10-Q--=13

Date

*********

Personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s)

is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in

his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the

entity upon behalf of which the person(s) acted, executed the instrument.

WITNESS my hand and official seal.

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SHERRIE OLSON

~ " Commission

1870327

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Notary

Public·

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San Bernardino County ~

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The Planning Department has a list of private map makers who will prepare the names and addresses for you.

This list is available at the public counter, Room 300, Counter N, 201 North Figueroa Street or 6251 Van Nuys

Boulevard, Van Nuys. Alternatively, you may obtain a list of such adjoining owners from the City Clerk's Office

(Room 730, 201 North Figueroa Street) or from a title company and prepare the labels yourself.

You may add additional pages to your response

needed. Please utilize numbering system of this form to assist

in the review of the responses.

1 2 3 4 5 6 7 8 9 10 11 ... 25 26

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West Bend 74706 Bedienungsanleitung Seite 6