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JACKSON, PETER AND EVAN
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JACKSON, PETER AND EVAN
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Last modified
4/28/2022 9:28:00 AM
Creation date
10/8/2021 4:11:41 PM
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Contracts
Company Name
JACKSON, PETER AND EVAN
Contract #
A-2021-116
Agency
Planning & Building
Council Approval Date
7/6/2021
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CALIFORNIA ALL-PURPOSE ACKNOWLIDGMENT CIVIL <br />• <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 ) <br />County of . WnGc ) <br />On _ C M21 1 2&21 before me, Avn�eer t ©L, llCQ7 4111C <br />Date Here Insert Name and Title of the Officer <br />personally appeared �2 7-,ACk-SoN VA N J_ACk_&nN <br />ame(s) of Signer(s) <br />i <br />who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are <br />subscribed to the within instrument and acknowledged to me that he/she/they executed the same in <br />his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), <br />or the entity upon behalf of which the person(s) acted, executed the instrument. <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 myLanSignatur� <br />o o ary a is <br />Place Notary Seat Above <br />OPTIONAL <br />Though this section is optional, completing this information can deter alteration of the document or <br />fraudulent reattachment of this form to an uninten-dd���d dogqument. <br />Description of Attached Docurrten,} P_kes U/Qx�pr� K <br />Title or Type of bocu ent: 1 of c Document bate: O� 2p 2 <br />Number of Pages: � Signer(s) Other Than N ed Above: l �---�� <br />Capacity(ies) Clairryad by Sig rg) EVAN TACkSoy 1 <br />Signer's Name: /A ax <br />❑ Corporate Officer — Title(s): _ <br />El Partner — ❑ Limited ❑ General <br />El Individual 1_1 Attorney in Fact <br />❑ Trustee 0 Guardian or Conservator <br />• Other: <br />Signer Is Representing: <br />Signer's Name: <br />i 1 Corporate Officer — Titie(s): <br />1 11 Partner — ❑ Limited ❑ General <br />L:l Individual 1.1 Attorney in Fact <br />El Trustee fJ Guardian or Conservator <br />❑ Other: <br />Signer is Representing: <br />02014 National Notary Association • www.NationaiNotary.org • 1-800-US NOTARY (1-800-876-6827) Item 45907 <br />
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