PMT16-03512 City of Menifee Permit No.: PMT16-03512
29714 HAUN RD.
47��A—> MENIFEE, CA 92586 Type: Mobile Home
MENIFEE Date Issued: 12/27/2016
PERMIT
SfteAddress: 31175 GEARY ST, MENIFEE,CA 92584 Parcel Number: 358-150-017
Construction Cost: $20,000.00
Existing Use: Proposed Use;
Description of PERMANENT FOUNDATION FOR NEW MOBILE HOME
Work:
Owner Contractor
ORVAL DICK LANIK ENTERPRISES INC
35344 WANKI AVE P 0 BOX 891416
WILDOMAR, CA 92595 TEMECULA, CA 92589
Applicant Phone:9516767114
ASHLEY TAYLOR License Number.,458947
LANIK ENTERPRISES INC
P 0 BOX 891416
TEMECULA, CA 92589
Fee Description Qtv Amount
Manufactured Permanent Foundation 1 240.72
Permit Fee 1 27.00
$267.72
The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and
specifications or from preventing builiding operations being carded on thereunder when in violation of the Building Code or of any other
ordinance of City of Menifee.Except as otherwise stated,a permit for construction under which no work is commenced within six
months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be
forfeited.
CONDITIONS
Condition Comment
1 PRIOR TO ISSUANCE
AA.Bldg_Perrnft-Temp1ate.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts forthe projects
I hereby affirm under penalty of perjury that I am under provisions of with a licensed contractor(s)pursuant to the Contractors State License Law).
Chapter9(commencing with section 7000)of Division 3 of the Business and o I am exem pt from licensure under the Contra ctoes State License Law for
Professions Code and my license is in full force and effect. the following reason:
License Class- A--4-1�3 Umirise No. By mysignature below I acknowledge that,except for my Personal residence
Expires q-30—(";t Signature ( in which I in ust have resided for at least one year prior to completion of
WORKER'S COMPENSATION DECLARATION U improvements covered by this permit.I cannot legally sell a structure that I
have built as an owner-builder if it has not been constructed in its entirety by
VI hereby affirm under penalty of perjury one of the following declarations:I licensed contractors.I understand that a copy of the applicable law,Section
1,ve and will main a certificate of consent of self-insure for worker's 7044 of the Business and Professions Code,is available upon request when
cc "ensationJ ued by the Director of IndustrWIR-0.t.ons as provided for this application is submitted or at the following website:
by Se 37 of the Labor Code,for the performance of work for which
this perml ' ed. www.Ieginfo.ca.gov/caIaw.htmI.
W 4
Policy LA.) S 9' ( Date
)421—h,ave and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,for the performance of the work for which a By my signature below I certifV to each of the following:I am the property
this permit is issued,My worker's compensation Insurance carrier and policy owner or authorized to act an the property owner's behalf.I have read this
number are- application and the information I have provided is correct.I agree to comply
Carrier &-40F Y�o §V C V&X, with all applicable cityand county ordinances and state laws relatingto
building construction.I authorize representatives ofthis city orcountyto
Pollcy#gwr� L4,4 Expires A— enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-h undred
dollars($100)or less Date
ci I certify that in the performance of the work for which this permit is issued, PROPERTY OWNER OR AUTHORIZED AGENT
I shall not employ any persons In any manner so as to became subject to the CITY BUSINESS LICENSE It
worker's compensation laws of California,and agree that if I should become
subject to the worker's compensation provisions of Section 3700 of the Labor HAZARDOUS MATERIAL DECLARATION
Code,I shall forthwith camp with those provi.sions. Will the applicant or future building occupant handle hazardous material or a
Applicant Date mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
WARNING,FAIWRE I'dSECURE WRKUS COMPENSATION COVERAGE IS o Yes ci No
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of th e building by the applicant or future build Ing
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($200,000),IN
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant require a perm it for the construction or modification from South
IN SECTION 3706 OF TH E LABOR CODE,INTEREST,AN D ATTORNEYS FEES Coast Air Quality Me nagement District(SCAQM D)?See permitting checklist
for guidelines
CONSTRUCrION LENDING AGENCY o Yes o No
I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 1000 feet of the
lending agency for the performance of the work which this permit is issued outer boundary of a school?
(Section 3097 Civil Code) ci Yes o No
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements underthe State of
Contractor's License Law forthe reason(s)indicated below bythe California Health&Safety Code,Section 2SS05 and 2S534 concerning
checkmark(s)I have placed next to the applicable item(s)(Section 7032.5 hazardous material reporting.
Business and Professions Code).Any city or county that requires a permit to oYes o No
construct,alter,improve,demolish or repair any structure,prior to its Date
issuance,also requires the applicant for the permit to file a signed statement PROPERTY OWNER OR AUTHORIZED AGENT
that he or she is licensed pursuant to the provisions of the Contractor's State EPA RENOVATION,REPAIR AND PAINTING(RRPJ
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt from licensure The EPA Renovation,Repair and Painting(RRP)Rule requires contractors
and the basis for the alleged exemption.Any violation of Section 7031.5 by receiving compensation for most work that disturbs paint in a pre-1978
an Applicant for a permit subjects the applicant to a civil penalty of not more residence or childcare facility to be RRP-certified firms and comply with
than($500). required practices.This includes rental property owners and property
managers who do the paint-disturbing work themselves or through their
0 1,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit:
compensation,will do( I all of or( )portion of the work,and the structure is www.epa.gov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323).
Code;The Contractor's State License Law does not apply to an owner of a
property who,through employees!or personal effort,builds or improves the a An EPA Lead-Safe Certified Renovator will be responsible for this project
Property provided that the improvements are not intended or offered for Certified Firm Name:
sale.If,however,the building or improvement is sold within one year of
completion,the Owner-Builder will have the burden of proving that it was Firm Certification No.:
not built or improved for the purpose of sale. o No EPA LeadSafe Certified Firm is required for this project because:
0 1,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
code:The Contractor's State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP
Acknowledgement.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
DATE PERMIT/PLAN CHECK NUIVIBERamo :ow�a-
TYPE: bCOMMERCIAL []RESIDENTIAL [-]MULTI-FAMILY R]MOBILEHOME [:]POOL/SPA [:]SIGN
SUBTYPE: DADDITION E]ALTERA-nON []DEMOLITION []ELECTRICAL []MECHANICAL
[]NEW F]PLUMBING EIRE-ROOF-NUMBEROFSCLUARES
DESCRIPTION OF WORK
City of Menifee
Dulld!Pg & SAfAtY DAPL
PROJEcTADDRESS 31175 Geary Street,Menifee,Ca.925B4 OCT 2 7 RIB
ASSESSOR'S PARCEL NUMBER 358-15G-017 LOT TRACT
PROPERTY OWNER'S NAME Daniel Archer Received
ADDRESS 4048D Marsha CL,Hemet,Ca.92544
PHONE (951)292-8450 EMAIL danny52185@gmaii.com
APPLICANT NAME Gordon Lanik
ADDRESS P.O. BOX 891416,Temecula.Ca.92589
PHONE (951)676-7114 EMAIL LanikEnterpdses@hotmaii.com
CONTRAcToWS NAME Gordon Lanik OWNER BUILDER? E]YESRINO
BUSINESS NAME Lanik Enterprises
ADDRESS P.O. BOX 891416,Temecula,Ca.92589
PHONE (951)676-7114 EMAIL
CONTRACTOR'S STATE LIC NUMBER 458947 LICENSE CLASSIFICATION A&B
VALUATION sct FT LSQFT
APPLICANT'S SIGNATURE DATE
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP
INVOICE I
T I ,CASH
AMOU I PAIDAMOUNT 0 CHECK It CCREDITCARD VISA/MC
PLAN CHECK FEES I PAIDAMOUNT 0 C&SH 0 CHECK# 0CREDrrcARD visA/mc
OWNER BUILDER VERIFIED 0 YES (-', No DL NUMBER NOTARIZED LETTER �.-' YES 0 NO
City of Menifee Building&Safety Deportment 29714 Huun Rd. Menifee, CA 92586 951-572-6777
www.citvofmenifee.us Inspection Request Line 951-246-6213
"MA" WILLIAMS MANUFACTURED HOMES
35325 Hwy 74
Hemet,CA 92645 1003491
H�ZD#91266
Phone(951)926-1581 ' Fax(951)926-9622
Email sales0mawifflamshomes.com ' Website www.mawlillamsliornes.com
MANUFACTURED HOME PURCHASE ORDER AND FEDERAL DISCLOSURE STATEMENT
PURCHASER DaWyArCher DATE: 713=016
ADDIEES�. 404801founbaCcurt HOME 951-2928,160
PHONE:
CITY- Hemet STATE: CA ZIP. 92544 CELL:
SALESPERSON:Lawn wavifins EMAIL: darim,52185ftemill... Cityof enifee
WORK:
Sublotioth.tammisiand... .... as wisellmousesteme..it afety Dept.
NUMILE MODEL. B.ROOMS APPROX. (NOT INCL. Nine SITUS
TOW EitfusevES) I I�
2 L 48 1 A,26.67 r-U—.W r 31175 Geary Street OCT
SERIALNUMOM APPROXDE� HUD OR NCO NO. OT,OF MFG. Menifee.CA 92584 OCT 7 ,2016
DATE
1211&2016 2016 353150017
THE COST OF THE MFD.HOME EXCLUDES THE LISTED PRICES FOR THESE
ITEMS. SQ.FT.IJANGAREA — Received
jg_TOENeVl Lg_WHEELS30 WHEELHUESS 25 TIRESS 35 MLES 128D III HOME PRICE $37,177.48
ITEMIZED ACCESSORIES AND THEIR COSTS:(SEE ADDENDUMS)
PLEASE SEE ADDENDUM'ADDITIONAL CONTRACT PROVISIONS"TO THIS PURCHASE ORDER THAT Is MADE A PART HEREOF.
BASE PRICESO
.EbOME IS 171160003
EImMAje�IXTUA Circle...)OPTIONS INCLUDED IN THE ABOVE PRICE ARE 57�1.90 INCLUDING BOARD OF EQUALIZATION.
ALL LOAN COSTS ARE TO BE NEGOTIATED BETWEEN THE BUYERS AND THEIR LENDER AND ARE NOTA PART OF THIS PURCHASE ORDER
UNLESS SPECIFIED HEREIN. IF A GOVERNMENT INSURED LOAN IS USED,WHICH REQUIRES SELLER TO PAY A PORTION OF BUYERS
COSTS.THIS P.O.WILL BE ADJUSTED ACCORDINGLY.
3 ton AD Unit-$3.500.00 TOTAL ACCESSORIES(OUTSIDE HOME) $3.5010.01
TOTAL MFD.HOME&ACCESSORIES SeUff"`1a_
SALES TAX(ITEMS NOT INTEGRAL TO HOME) socalso
DELIVERY(NORMAL) INCLUDED
SETUP INCLUDED
BLOCK FOUNDATION SYSTEM Decedents,
OTHER FOUNDATION SYSTEM Sam
THE MANUFACTURERS STATES THAT INSULATION HAS BEEN INSTALLED IN HCD FEES SnC0
THIS HOME AS FOLLOWS: ESCROWFEES $500A)
TYPE THICKNESS -W FACTOR SCHOOL FEES(APPROXIMATE) 30.00
ROOF I Zonall OE%IELOPNIENT IMPACT FEE(APPROXIMATE) saw
EXTERIOR WALLIS I Zonal] I OPEN SPACE FEE(APPROXIMATE) 5100
FLOOR I ZoneD I TRANSPORTATION UNIFIED MITIGATION FEE SIX(e)
leitunruiltir—Umuss a cWme i,�indudert ir.this Agr�-merl 1.1 VII07 OTHERCOSTS 50.00
Damage insurance,Payment LOT�h Coyerage a rea sm,Iced hV This igee�ntij GOVERNMENT CLOSING COSTS SIDW
ABNORMAL DELIVERY COSTS else
'if the dealer is also licensed as a met estate broker,the sale of a H PRICE
manufactured home or mobile home being installed on a foundation system 1.TOTAL CAB $91.299.48
pursuant to Section 18551 may be included in the purchase document for PAID HEREDLITH $50100
the underlying real property,jonovided that the requirements ofHSC SEC CASH BEFORE DELIVERY -S=.W
18035.3 am mon' DESIGNATED DEPOSIT
(INC.IN DOM PAYMENT) Seho
THE DEALER CERTIFIES THAT THE Z LESS BUIVERS DOWN PAYMENT(DES.DEPOSIT) MW
INSTALLATION CONTRACTOR IS: 3,UNPAID BAI-ON CASH SALES PRICE 591.21948
SM ADDENDUM FOR: PAYABLE AS FOLLOWS.
NAME.LICN.ADDRESS,CITY,STATE,AND 7JP FOR VARIOUS CONTRACTORS NOTE:TOTAL DOWN PAYMENT AND/OR NOTE,IF
A Contractor Is required by law to be licensed and regulated by the USING EQUITY IN PROPERTY,MUST BE
Contractors State License Board.P.O.Box 260DO Sacramento.CA 95827 DEPOSITED PRIOR TO BUILDING HOME.
In=welth-maufactured home cannot be delloned'AmMor Inssodon complessilwUnitithesprusel d.flemytinsidwhimm,mramino.blithe buy.,buys,
aiEiMso to one ofile,followelng mass optionalseller.allhirfl)to pay day until a manwachmed home Insteltattom aseeptance or
ofirtmidninuittiglimitmonsid. myon1=1.1,$SEE ADDENDUM In ila,,FIUl c...letwifte,
15)00 NOT SIGN THE PURCHASE AGREEMENT BEFORE YOU READ IT OR IF IT CONTAINS
ANY BLANK SPACES TO BE FILLED IN. (B)YOU ARE ENTITLED TO A COMPLETELY FILLED IN COPY OF THAT
AGREEMENT AND,IF PURCHASING A MANUFACTUREDIMOBILE HOME COVERED BY A WARRANTY,A COPY OF
THEWARRANTY. Complaints conourning the purchase shall be referred to the dealer and,IT the Complaint Is not resolved.maybe referred to Ire
Department ofHasing and Community Deselopment,Division of Codes and Standards,Occupational Licensing.Post Office Box 31.Socramenlo.California
95812-0031(telephone(80a)952,5275). A failure to disclose pursuant to this Section shall not be the basis for recession of a conditional sale man"CL
The Manufactured Home that I am purchouling WEI be usedi as a resonance. I harther cutur inum I unneWiand—that It—SubjedMenufadumd Home is used for any
purposeatherth, Ed I IT Debi I ITT SI I BcXd of Equa[mllan.far the lat meas�jed by the amount excluded puranint ED this cartificate.
PURCHASER DATE: Z(a
RECEIPT OF A FILLED4N COPY OF THIS AGREEMENT IS HEREBY ACKNOWLEDGED BY PURCHASER
The P.unsmans Order 6 subjecito count sp,minamset Is net onnifiremums mono by.rcememen,epumemame 0 Us, Purdhassroolusumb-holligmaociesdaimme
In�ec�t�pfffqurmona�d�ni�M�p�usea*MB�V�w�orMoWeHmeammmMaaquses
Purchase MePur�awborebyagmesw�y���gsondemnd.
ALL TERMS AND CONDITIONS SET FORTH ON PAGE 2 OF THIS AGREEMENT AND THE ADDENDUM ON PAGE 3 ARE +
PLICABLE AS THOSE SET FORT ONT DOE FO THIS REE�M�T
S:UILJEI�� PURCHASER:
DATE' 20
AUTHORIZED REPRESENTATIVE OF DEALER
We Orval E. and Betty J. Dick, the legal owners of APN#358-150-017 give permission
for Danny Archer to start processing permits through the city of Menifee to place a
new manufactured home on a permanent foundation on our above referenced land.
Orval E. Dick Betty J. Dick
/a'/ C)a Z4 ,
Bate Date City Of Menlfee
Building & Safety Dept.
OCT 2 7 ,2016
RecGIVed
CALIFORNIA CERTIFICATE OF ACKNOWLEDGMENT
Anota public or other officer completing this certificate verifies only the identit
the Ing yof
v
[dual who signed the document to which this certificate is attached,and not
5 the truthfulness,accuracy,or validity of that document.
State of California
3
Countyof RIV&P—G)06
0-k4;-7Tj4iA L-12&-kF- I,'OTA A.�( Plt6i ic
on 0C-TveFP- :L4 -.2-016 before me,
(here ins-ent ma-m-e Tnd title—.fthe officer)
personally appeared 10AVAL E, -PiCie- A 0-r-> 6F-T7V J-- -P)e-V
who proved tome on the basis of satisfactory evidence to be the pet�sosno whose name(s)ltA�Oubscri bed to
the within instrument and acknowledged to-j3je that ke#,he(the&xecuted the same in hWhe heir
authorized capacity(ies), and that by his�thelr Nnature(s) on tWinstrument the person(s), or the en 1
upon behalf of which the person(s)acted,executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the
i State of California that the foregoing paragraph is true and correct.
COMM. 021651
73
Nobiry P&k-OMMI,
WITNESS my hand and official seal. Cou*
K I ft 17,SM
Signature
(Seal)
ed il-'W.'��. i .....
pipiph
n
-41: -� qv!rla:Pon.�
Although the information in this section is not required by law,it could prevent fraudulent removal and reattachment of this acknowledgment to an
unauthorized document and may prove useful to persons relying on the attached document
Description of Attached Document
The preceding Certificate of Acknowledgment is attached to a document Method of Signer Identification
Proved to me on the basis of Satisfactory evidence:
titled/for the purpose of 0 form(s)of identification 0 credible witness(es)
Notarial event is detailed in notaryjournal on:
containing_ pages,and dated Page#— Entry
The signer(s)capacity or authority is/are as: Notary contact:
El Individual(s) Other
11 Artomey-in-Fact (] Additional Signer(s) El Signer(s)Thumbprint(s)
CofporateOfficer(s) 7,fle(s)
El Guardian/Conservator
El Panner-Limited/Geneol
0 Trustee(s)
El Other:
representing:
N.me(s)of Pnsonu)or Ennity(I.0 Signer is Representing
0 Copyright 2007-2015 Notary Role,Inc.PID BOX41400.Des Moines,IA50311-0507. All Rights Reserved. Item Number 101772. Please contact your Authorized Reseller to Purchase copies of this form.
DOC # 2008-0625055
o-P 11125/2= 08:OOA Fee:12.00
Page I of 2 0� T Tax Paid
RECORDING REQUESTED BY: Recorded in Official Records
Caunty of Riverside
Landwood Title Larry U. Ward
AND WHEN RECORDED hWL TO: Assessor, County Clerk Recorder
Mr. and Mrs. Orval E. Dick
35344 WankiAvenue S. R U
IMIdomar, CA 92595-9532
426
M A L 465 SMF NCHG
CjT- TY
Title Order No.: 12,5 THIS SPACE t-fJ4 KL1.;UKUh! I As M
Es-cro,
TRA9 05"= GRANT DEED T
THE UNDERSIGNED GRANTOR(S) DECLARE(S) ER TAX is$165.00 City of Menifee 061
DOCUMENTARY TRANSFE Building & Safety Dept.
JX]computed on full value of property conveyed, or
I I computed on full value less value of liens of encumbrances remaining at time of sale.
[X] Unincorporated area [ ] City of AND OCT 2 7 2016
FOR A VALUABLE CONSIDERA11ON, receipt of which is hereby acknowledged, Received
Keith Allen Carter,a Married Man,as his sole and separate property
hereby GRANT(s)to:
Orval E. Dick and Betty J. Dick,Husband and We as JoInt Tenants
the real property in the County of Riverside, State of California,described as:
Lots 14 and 15, Block 8 of Upton Acres No. 7 as shown by map on file in Book 14, Page 100 of Maps in the"
office of the County Recorder of Riverside County, California.
Also Known as: 0 Geary Street, Menifee,CA
AP#: 358-150-017-4 &358-150-018-5
de"e, aflae Iva,
DATED October 15,2003
STATE OF GALif�M I C tH 6
COUNT-YOF ::Von.o, Keith Affeb Carter
On Qr—',f-b�.Q � '4-
Before me, fA A- fj�j ry
A Notary Public in arid for said 5tale,Personally appeared BECKY A.BEAUDINY
ftblicGkift"
Ccir+e-r 0 C�qityofkxft
who proved to me on the basis of satisfactory evidence to be the
person(s)whose name(s) isfare sub=ibed to the within Instrument
�
and acknowledged to me that he/shelthay executed the same in.9
histhentheir aullhorized capacity0es), and that by hisfher/their
signature(s) on the instrument the person(s), or the entity upon
behalf of which the person(s)acted,executed the instrument. M or
I certify under PENALTY OF PERJURY under the laws of the State
of Califomia that the foregoing paragraph is true and conect.
WITNESS my hand and official seal.
Signal rz
MAIL STATEMENTPJU PARTY SHOWNDELOW;IF NO PARTY SHO ABOVE:
DOC#2016-0491892
11/04/2016 04:19 PM Fees: $18.00
RECORDING REQUESTED BY: Page 1 of 2
First American Title Company Recorded in Official Records
County of Riverside
Peter Aldana
WHEN RECORDED MAIL DOCUMENT AND TAX Assessor-County Clerk-Recorder
STATEMENTTO,
"This document was electronically submitted
Daniel K.Archer to the County of Riverside for racarding--
31175 Geary Street Receipted by'.YVONNE#046
Menifee, CA 92594
APNI: 358150017-4
TITLE ORDER NO.:6208549
ESCROW NO.:37539-2 -
THIS SPACE FOR RECORDER`S USE ONLY
)AA: Oab-00Y GRANT DEED
The undersigned Grantor(s)declare(s)that the DOCUMENTARY TRANSFER TAX IS: $ 123.75 County $00.00 City
XX computed on the full value of the interest of property conveyed,or
—computed on the full value less the value of liens or encumbrances remaining thereon at the time of sale.
—OR transfer is EXEMPT from tax for the following reason:
The Undersigned
Signature of declarant or agent determining tax Firm Name
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Orval E. Dick and Betty J. Dick,
Husband and Wife as Joint Tenants
HEREBY GRANT(S)to Daniel K.Archer a Single Man
All that real property situated in the City of Menifee, County of Riverside, State of California, described as:
Complete legal description attached hereto as Exhibit OA"and made a part hereof.
Commonly Known As:31175 Geary Street Menifee.CA 92584
June 20.2016
Orval E. Dick
Betty J Dick i U
=.Zbr'c or other offimr completing this cerlilimte verifies tiny the identity of ft indhridual who signed the document to which this certificate is
d It the truthruiness.accuracy or vancitty of onat document
STATE OF CAUF_QRNIA
COUNTYOF
On r1_1AFJkF )L-T DLOUP before me, e.*y1JT-14-)A Lv&ue, a Notary Pubrw
personalyappeared 66�� -j- Dieg OPIIAL. E. DICK
I
who proved to me on the basis of satisfactory evidence to be the pers4s)whose namc(s)i4��subsodbed to the within instrument and
acknowledged to me that he`151�xecuted the same in hm%e(�ulhorized capacity(ies),and that by*_%�nature(s)on the
instrument the person(s).or the enury upon behalf of which the person(s)acted,executed the instirument.
I mnify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and wrrect.
WITNESS my h?dyd official sez1,__7,,,p - - - -- -�._.V " '
Signature. (SEAL) GUE
CYNTHIA LO
COMM.#1991574 In.
Notary
JX1 RWBZU*00LK1Y
qj%qvLEM0GT.I7,2DI6
MAIL TAX STATEMENTS AS DIRECTED ABOVE