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HomeMy WebLinkAbout20210325_Notary AcknowledgementPA2021-009 Recording Requested by and Mail to: City of Newport Beach Public Works Dept Attn: Subdivision 100 Civic Center Drive P.O. Box 1768 Newport Beach, CA 92658 This S ace for Recorder's Use Onl Lot Line Adjustment/Lot Merger Address( es) or Property Involved: _3_o_s_o_E_a_st_c_o_as_t_H_ig_h_w_ay _____ -+----------- Owner( s) Affidavit I (We) hereby certify under penalty of perjury that 1) I am (we are) the !record owner(s) of all parcels proposed for adjustment by this application, 2) I (We) have knowledge of and consent to the filing of this application, 3) the information submitted in connection with this appl~cation is true and correct; and 4) I (We) consent to the recordation of these documents. RECORD OWNERS: I . -459-186-16 I Parcel I NAME: ERtC-~ C4~n,,,J ,t../utrrf ~l..L-C- ~<K~UI)-~ I Siqnature of parcel owner Signature of parcel owner Parcel 459-186-17 NAME: €.Rte_ ~ ~So,J H"1G-II-CA~o,J LLC- ~'i<~ I (L)-~ Signature of parcel owner Signature 9f parcel owner Parcel I NAME: I I Signature of parcel owner Signature of parcel owner I Parcel NAME: I I Signature of parcel owner Signature of parcel owner NOTE: Each of these signatures must be notarized, using the appropriate Jurat attached and completed by a Notary Public. Approved for Recording CITY OF NEWPORT BEACH City Engineer: Date: __________ _ F:\Users\CDD\SharecAAdmln\Planning_Division\Applicalions\LA&LM\lnfo LA LM Rev 040218.docx ---Updated 4104/18 PA2021-009 ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. ~ State of--ealiferr,ia , f/lp Coun of l{M ss. -T rJ ' ✓,), On · rn , 20 2/ bef~~ m~ '-..,L6 VI I r' rA {)U) I Notary Public, per onally appeared f;v:1 -v ~-par-s on . I 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 signatures(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. ~:.~zp~n~e;,:.e::i\:,~:. PERJURY under the laws of the State of ~;;tat the foregoing ~ WITNESS my hand and official seal. ......... ,, ,,,..,.. p~',, .. ,~i\P ,, ,... ,1 ,, l..-"""7-4~SiZ~-:~ ~ , ~ .. . ~ {.~~: .•~ \ No.'Ol-111/ : \~ ~, ...... •· ,, .. ,,,,, tJ/1 ,, •• •· ,,,,,,., .. Ooe111rn1nt DIii: •zj I ~)02,/ 11 'a;,,,s 7~ ~ Nl!ffll: Jodi Pu10i Second Cln:uit I . 0oc. ~: o WU V!.:> r~ PA2021-009 Recording Requested by and Mail to: City of Newport Beach Public Works Dept Attn: Subdivision 100 Civic Center Drive P .O. Box 1768 Newport Beach, CA 92658 This S ace for Recorder's Use Onl lot line Adjustment/lot Merger Add ( ) P rty I I d 3050 East Coast Highway ress es or rope nvo ve : ------------------------- Owner(s) Affidavit I (We) hereby certify under penalty of perjury that 1) I am (we are) the record owner(s) of all parcels proposed for adjustment by this application, 2) I (We) have knowledge of and consent to the filing of this application, 3) the information submitted in connection with this application is true and correct; and 4) I (We) consent to the recordation of these documents. RECORD OWNERS: Parcel 459-1 86-16 M -Ct>t(ZSOt---1 .::rR . U..(. ~ Co-Wl~Et"L arcel owner 459-186-17 Signature of parcel owner Signature of parcel owner Parcel NAME: ____________________________ _ Signature of parcel owner Signature of parcel owner Parcel NAME: ____________________________ _ Signature of parcel owner Signature of parcel owner NOTE: Each of these signatures must be notarized, using the appropriate Jurat attached and completed by a Notary Public. Approved for Recording CITY OF NEWPORT BEACH City Engineer: Date: ___________ _ F:\Users\CDD\Shared\Admin\Plannmg_Divlsion\Applications\lA&LM\lnfo_LA_LM_Rev_040218.docx Updated 4/04/18 *SEE ATTACHED NOTARIAL CERTIFlCATE• PA2021-009 ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of ~/-5xc } ss. MARYANNESCARPONI, NOTARY PUBLIC On /Of/,, ___ .v _ 2-P;).1 , a ;;_/ ____________ . Notary Public, persol\~lly appeared r ,t._ , who proved to me on the basis of satisfactory evidence to be t e erson(:.:)' whose name~ ~ subscribed to the within instrument and acknowledged to me that@shefthey executed the same in @ lhedtt,ei.-authorized capacity(ies-), and that by @lerltneir signatures($) on the instrument the person~. or the entity upon behalf of which the person~ acted, executed the instrument. I certify under PENAL TY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of __________ __. ss. On ____________ 20 __ before me, Notary Public, personally appeared 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 signatures(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENAL TY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature (seal)