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Item 18 - Permanent Supportive Housing Project at 918 Bewley Street
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Item 18 - Permanent Supportive Housing Project at 918 Bewley Street
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10/8/2024 5:18:01 PM
Creation date
10/8/2024 4:57:55 PM
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City Clerk
Doc Type
Agenda Packet
Agency
Community Development
Item #
18
Date
10/15/2024
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Affidavit Page 6 <br />Santa Ana, California August 8, 2014 <br />AFFIDAVIT <br />This Affidavit is made with the knowledge that it will be relied upon by the _____________ City of Santa Ana, <br />our landlord and the owner of our apartment building, to determine maximum income for eligibility. (I/we) <br />warrant that all information set forth in this document is true, correct and complete and based upon information <br />(I/we) deem reliable and based upon such investigation as (I/we) deemed necessary. <br />(I/We) acknowledge that (I/we) have been advised that the making of any misrepresentation or misstatement in <br />this affidavit will constitute a material breach of (my/our) rental agreement with the property owner to rent the <br />unit and will additionally enable the property owner to initiate and pursue all applicable legal and equitable <br />remedies with respect to the unit and to me/us. <br />(I/We) do hereby swear under penalty of perjury that the foregoing statements are true and correct and that <br />this affidavit has been executed as of the date specified below by each adult member of the household which <br />intends to occupy an Inclusionary Unit located at ______________________ ,Santa Ana, California. <br />Signature Date <br />Printed Name <br />Executed at __________________________________, Santa Ana, California <br />Signature Date <br />Printed Name <br />Executed at __________________________________, Santa Ana, California <br />EXHIBIT 2
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