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Revocable encroachment permit Kaiser Hospitals 1100 Veterans NOT recorded
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Revocable encroachment permit Kaiser Hospitals 1100 Veterans NOT recorded
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Last modified
12/18/2018 9:09:36 AM
Creation date
12/18/2018 9:07:53 AM
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Recorded Docs
Recorded Docs - Type
Agreement
Subject
Revocable encroach permit Kaiser 1100 Veterans
Doc Num
See MO 18-253
Rec Date
12/14/2018
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE <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^� ^11 QQ^ ) <br />County of <br />„5a))' <br />OnafNVI(fVIsGt (eI�beforeme, Uli/1 i YIFCJ'IG N�lal <br />Date Here Insert Name and Title of the Officer <br />personally appeared S� IA 6-iI <br />Name(s) of Signer(s) <br />who proved to me on the basis of satisfactory evidence to be the person(sj'whose name(s) is/ark- <br />subscribed <br />s/aresubscribed to the within instrument and acknowledged to me that-he/she/they executed the same in <br />Tils/her/thMr authorized capacity(iV, and that by his/her/their signature(e)'on the instrument the person(Sj <br />or the entity upon behalf of which the person(sracted, executed the instrument. <br />LILY C.-SROCMWIER <br />7 Commission N 2133847 9 <br />Notary Public - CiItlOrNa <br />z, , d <br />�\''�»;�-;;. San Mateo County <br />My Comm. Expires Dec 9, 2019 <br />Place Notary Seal Above <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 />Signature <br />ignature of Notary Public <br />OPTIONAL <br />Though this section is optional, completing this information can deter alteration of the docu�m�ef!t pr <br />fraudulent reattachment of this form to an unintended document. G°r �"`i <br />0Aiy,dnvntt <br />Description of Attached Docume <br />Title or Type of Document <br />Document Date: <br />Signer(s) Other Than Named Above: <br />Capacity(ies) Claimed by Signer(s) <br />Signer's Name: <br />❑ Corporate Officer - Title(s): <br />❑ Partner - ❑ Limited ❑ General <br />❑ Individual ❑ Attorney in Fact <br />❑ Trustee ❑ Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />Number of Pages: <br />Signer's Name: <br />❑ Corporate Officer - Title(s): <br />❑ Partner - ❑ Limited ❑ General <br />❑ Individual ❑ Attorney in Fact <br />❑ Trustee ❑ Guardian or Conservator <br />l Other: <br />Signer Is Representing: <br />©2016 National Notary Association • www.Nationa[Notary.org • 1 -800 -US NOTARY (1-800-876-6827) Item #5907 <br />60py 2- <br />(5(- <br />(5(- Z <br />
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