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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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Contracts
Company Name
BRISTOL PALMS, INC.
Contract #
N-2025-077
Agency
Planning & Building
Expiration Date
1/1/1900
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CALIFORNIA ACKNOWLEDGMENT CIVIL <br />.. <br />.PiWn <br />A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document <br />to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. <br />State of California 1 <br />County of �i�C�H°t-f— <br />On e.fc�— 2S �oZS before me, C \ 1� �. ✓ktS=s�. iV . �/r <br />Date J Here Insert Name and Title o the Officer <br />personally appeared <br />s vrK <br />of Signer <br />who proved to me on the basis of satisfactory evidence to be the personoj whose nameW is/8fie subscribed <br />to the within instrument and acknowledged to me that he/s*th)sy executed the same in his/yrr/tWr <br />authorized capacity(it-A, and that by his/*/tiI§ir signature*on the instrument the personM, or the entity <br />upon behalf of which the person(o acted, executed the instrument. <br />I certify under PENALTY OF PERJURY under the <br />° DANIELKLMZENSKI <br />laws of the State of California that the foregoing <br />NotaryPublic- Californi. <br />1, orange County r <br />paragraph is true and correct. <br />Commission f 2474850 <br />°•' My Comm. Expires Dec 6, 2037 <br />WITNESS d and cia se I. <br />Signature <br />Place Notary Seal and/or Stamp Above <br />ignatu of Notary Public <br />[02dre kTe111 <br />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 <br />❑ Trustee <br />❑ Other: <br />Signer is Representing: <br />❑ Attorney in Fact <br />❑ Guardian or Conservator <br />
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