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Agmt13 South Bayside System Authority (SBSA) License
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Agmt13 South Bayside System Authority (SBSA) License
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Last modified
10/8/2014 12:29:34 PM
Creation date
1/13/2014 8:29:16 AM
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Template:
Agreement
Contractor Name
South Bayside System Authority
PROJECT NAME
License agreement - Easement for SBSA Rehab, restore and replacement of existing underground reinforced concrete pressurized sanitary sewerage transmission main
RMP File Number
604
Date
8/13/2013
MO Ref
13-133, 14-147
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br /> 4, .4.44_4. 4- <br /> State of California <br /> County of gait J1 I O <br /> On Z before me, Jul }'t /W ?c t 1' c <br /> Date Here insert Name and Title of the Oflic f' <br /> personally appeared 017Rr + < - '5e(1 <br /> Name) of Signer) <br /> • <br /> who proved to me on the basis of satisfactory evidence to <br /> be the person( whose nameK is/4ite subscribed to the <br /> within instrument and acknowledged to me that <br /> he /It'Ij executed the same in his /ir /tom authorized <br /> capacity(I ), and that by his/Neathdr signature(g) on the JULIE MA ROSAS instrument the person(, or the entity upon behalf of <br /> Q Commission # 1931141 which the person() acted, executed the instrument. <br /> :• � t. Nota publi <br /> z c - California <br /> M San at <br /> ,,.r <br /> ry <br /> Comm ateo County' <br /> p res A r 17, 2015 1 certify under PENALTY OF PERJURY under the laws <br /> > . Ex ' <br /> of the State of California that the foregoing paragraph is <br /> true and correct. <br /> WITNESS nd and official seal. <br /> Signal rP L .. /° 54 <br /> Piano Notary Seal Above Signature of Notary Public <br /> OPTIONAL <br /> Though the information below is not required by law, it may prove valuable to persons relying on the document <br /> and could prevent fraudulent removal and reattachment of this form to another document. <br /> Description of Attached Document <br /> Title or Type of Document: 254 e r t4 <br /> Document Date: ALAI f )S4 20) 3 - Number of Pages: f 3 <br /> Signer(s) Other Than Named Above: A S <br /> Capacity(ies) Claimed by Signer(s) <br /> Sig = 's Name: Sig 's Name: - <br /> ❑ Indivl. -. at ❑ Indivi tI.I <br /> ❑ Corporate 1 ficer — Title(s): ❑ Corporate JD ricer — Title(s): <br /> ❑ Partner ---- ❑ L' ' ited ❑ General ❑ Partner — ❑ Li ed ❑ General <br /> RIGHTT "IMPRINT RI HTTHUMBPRINT <br /> ❑ Attorney in Fact oFBIGNER f ❑ Attorney in Fact OF SIGNER <br /> '" <br /> ❑ <br /> Trustee Top of thumb her ❑ Trustee Top of thumb here <br /> ❑ Guardian or Conservator ❑ Guardian or Conservator �. <br /> ❑ Other: 0 Other: <br /> Signer Is Representing: Signer Is Representing: <br /> ©2007 National Notary Association ^ 9350 De Soto Ave., P.O. Box 2402 -Chatsworth, CA 91313 -2402 • www.NattonalNotary.org Item #5907 Reordor:Cali Toll -Free 1- 600876 -6827 <br />
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