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10512766
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10512766
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Entry Properties
Last modified
6/29/2021 10:00:19 AM
Creation date
6/25/2021 2:20:29 PM
Metadata
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Template:
Permits
Permit Address
4749 RIVERDALE RD S
Permit City
SALEM
Permit Number
555-21-003166-PRMT
Parcel Number
084W12C 00800
Permit Type
Septic
Permit Doc Type
Permit Document
Status
Ready to Film
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` �...Y.vr..r,.,r.a..tw�T. w,vr'W:,r.•vr:.�r.4 t. ill••.l,.�int'Kn•,..`l,gl•,.Mv.�r are•• .rYl./"vvrvVa.,T-.rv�L'Irt:.,l„Tt....t..rw�,..wlt�r....w�r.r.,.�.r•..vn�,..w. .early"*1✓.T� <br /> California All-Purpose Certificate of Acknowledgment <br /> A notary public or other officer completing this certificate verifies only the identity of the individual who signed the <br /> I document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document <br /> State of California _ <br /> County of San Diego s ss. <br /> On firms Y , 2021 before me, Fred Majors, Notary Public <br /> c .' /,�' ' / Noma of Notary'Public.Title <br /> personally appeared _ <br /> G Nemo or Signa,(1) <br /> 5 <br /> ? Name of Signer(2) e <br /> who proved to me on the basis of satisfactory evidence to be the person(4)whose name() <br /> F. <br /> is/ate subscribed to the within instrument and acknowledged to me that he/are/MeV executed <br /> the same in his/War/tiauthorized capacity( s),and that by his/her/tbeir signature(on the - <br /> instrument the person(), or the entity upon behalf of which the person(s)acted,executed the <br /> instrument. = <br /> I certify under PENALTY OF PERJURY under the laws - <br /> i. of the State of California that the foregoing paragraph is 3 FRED MAJORS <br /> true and correct. { C <br /> ..._.r.,„„„:(... Commisstan No.2189132 i <br /> a c .- NOTARY PUBLIC-CALIFORNIA 9 <br /> �' , % SAN DIEGO COUNTY C <br /> 5 WITNESS my hand and official seal E � l r <br /> t .��' 1 T• Commission Fsp res March 31,X21 <br /> 5 <br /> 7•i <br /> Seal <br /> af� taro of of Notary Public i <br /> 1 <br /> OPTIONAL INFORMATION <br /> A/ or rho information in this section is not required by law it could,revere";fraudulent removal and rnat:ac;.men:of <br /> this ackacwtedgment to an unauthorized document and may prove useful to persons relying on the attached document. <br /> Description of Attached Document <br /> p ' 4,iitoi6er4irif`oratiotr.`. r, <br /> G The preceding Certificate of Acknowledgment is attached to a Method of Signer Identification <br /> document titled/for the purpose of Proved to me on the basis of satisfactory evidence: rr <br /> ❑form(s)of identification 0 credible witness(es) <br /> Containing pages,and dated Notarial event is detailed in notary journal on: <br /> S Page*_ Entry*_ <br /> The signer(s)capacity or authority is/are as: <br /> 0 Individual(s) • Notary contact <br /> 0 Attomeyin-fact - <br /> L.: 0 Corporate Officer(s) Other <br /> e. Titre(s) <br /> 0 Additional Signer 0 Signer(s)Thumbprints(s) <br /> 5 0 <br /> 0 Guardian/Conservator <br /> E 0 Partner-Limited/General <br /> ❑ Trustee(s) <br /> c ❑ Other. <br /> representing: <br /> Ham'.•(SN Pancni:167ta:)9fc a Ren,ecr..un;; <br /> `z <br /> -,.. ,.. ....�1. .. _ .. ...... ..... .. .. .. .. ,. <br /> )2C4y 24:5 Notary Leaning Center-NI Rignts Reserved You can`urchsse copies ci this forn from our vets site at wsr`:a.Tt:eNctarrsStora.cmn <br /> .--..--:-.--7---7-7:-.---T-77"..__.._ T r% _...._..— <br />
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