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BRISTOL PALMS, INC.
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BRISTOL PALMS, INC.
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Last modified
4/17/2025 11:12:19 AM
Creation date
4/3/2025 3:53:11 PM
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Template:
Contracts
Company Name
BRISTOL PALMS, INC.
Contract #
N-2025-077
Agency
Planning & Building
Expiration Date
1/1/1900
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CALIFORNIA • .S <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 />Countyof QRAN&-E ) <br />On HARCH 9-1, 2o2-q before me, TA" M / N A S3 A RJ <br />Date Here Insert Name and Title of the Officer <br />personally appeared SA H A (Z g �.i��1 '7 A K r <br />Name(sf of Signer(s) <br />who proved to me on the basis of satisfactory evidence to be the person(! whose name(g) is/aye <br />subscribed to the within instrument and acknowledged to me that hgfshefthley executed the same in <br />hi4/her/tg6ir authorized capacity(*), and that by th"r/tOeir signature(s) on the instrument the person(sy, <br />or the entity upon behalf of which the persoril 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 my hand and official seal. <br />4M, TAHMINA SARI <br />Notary Public-CaliforniaOrange County�Commission # 24686U2 Signature <br />y Comm.. Expires Oct 28, 2027 ' <br />Signature of Notary Public <br />Place Notary Seal 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 unintended document. <br />Description of Attached Document <br />Title or Type of Document: <br />Document Date: <br />Signer(s) Other Than Named Above: <br />Capacity(ies) Claimed by Signer(s) <br />Signer's Name: <br />❑ Corporate Officer — Title(s): <br />❑ Partner — ❑ Limited ❑ General <br />❑ Individual ❑ Attorney in Fact <br />❑ Trustee ❑ Guardian or Conservator <br />❑ Other. <br />Signer Is Representing: <br />Number of Pages: <br />Signer's Name. <br />❑ Corporate Officer — Title(s): <br />❑ Partner — ❑ Limited ❑ General <br />❑ Individual ❑ Attorney in Fact <br />❑ Trustee ❑ Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />
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