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AgdaPkt 2017-10-23 Joint SA PFA
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AgdaPkt 2017-10-23 Joint SA PFA
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Last modified
10/24/2017 8:33:20 AM
Creation date
10/19/2017 3:26:13 PM
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Template:
CC Index
CC Index - Document Type
Agenda Packet
Meeting Type
Joint
Agency Type
City Council and Successor Agency and Public Financing Authority
Date
10/23/2017
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Cariser 6A .C. - Page 20 <br />3632 & 3636 Haven Avenue <br />Redwood City, CA 94063 <br />VII. Inspector Information: <br />The inspections documented in the attached Inspection and Maintenance Checklists <br />were conducted by the following inspector(s): <br />Inspector Name and Title Inspector's Employer and Address <br />VIII. Certification: <br />I hereby certify, under penalty of perjury, that the information presented in this report and <br />attachments is true and complete: <br />Signature of Property Owner or Other Responsible Party Date <br />Type or Print Name <br />Company Name <br />Address <br />Phone number: Email: <br />Page 3 of 3 O&M Inspection Report <br />ATTY/AGR.2017.229/3636 Haven (Porsche) STMMA <br />
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