none, Special use permit #4 for temp, Resolutions & Approval Conditions1
r•
t �. 9 O 19 `✓ I `V V +.,
RECORDING REQUESTED BY AND MAIL TO:
CITY OF ROLLING HILLS
2 PORTUGUESE BEND ROAD
ROLLING HILLS; CA 90274
Fo r
Recorder. Use
• RECORDER'S OFFICE
I=CaS iRGEEf..E COU(t l 1'
• PA,. J. tr.NOV 30 .12,,U
Pleaserecord this form with the -Registrar -Recorder's Office and ,
return to:
City of Rolling Hills
2 Portuguese Bend Road
Rolling Hills, CA 90274
(The Registrar -Recorder's
before recordation.)
STATE OF CALIFORNIA )
COUNTY OF LOS ANGELES )
•
SS
)FEE$7 S I
Office requires that the form be notarized
Acceptance Form
DAMODER REDDY
68 PORTUGUESE BEND ROAD.
CONDITIONAL USE PERMIT CASE NO:
VARIANCE CASE NO.
SPECIAL PERMIT CASE NO.
I (We) the undersigned state:
I am'(We are) the owner(s), of the real property
Those Portions of Lot. " I "
of Rolling Hills, a110-1ted
in action " Bixby et al. ,
District Court of the •1.7th
California, in and for said
This property is the subjec
I am (We are) aware of, and
4
described as follows:
of tjhe Rancho Palos Verdes, in the City
to Jothan Bixby by Decree of partition
vs, Bent et al., Case No. 2373, in the
Judicial District of said State of
County of Los Angeles,
L,_.
'J V r:. numbered C. aF:;.f
accept, all the stated conditions in said
Conditional Use Permit Case No.
Variance Case No.
I (We) certify (or declare) under the penalty, of perjury that the
foregoing is trueand correct:
(Where the owner
7. and
anal ionn*, are
Applicant Name
Address
City, State
Signature
not the same, both must sign.)
Owner Name
Address
City, State
Signature
This signature must
be acknowledged by a
notary public. Attach
appropriate acknowledgement.
Type or print
-SS G-M'b�� •t DO
(Rc L.L- C k) (
t7- N.S�=�
_ Gc� t s T P.,o kiCos
CAT. NO. NN00634
TO 1950 CA (11-84)
(Witness —Individual)
STATE OF CALIFORNIA
COUNTY OF :*7f rn I 4 t et tt
J TICOR TITLE INSURANCE
} ss. 90-1.989084
On (0 c4 p 16 ex _a s , / 'l 9 0 before me, the undersigned, a Notary Public in and for
said State, personally appeared i^ P , / 1 ;`*--. ` i -`t:) r.o.S D
personally known to me to be the person whose name is subscribed to the within Instrument, or proved to
be such by the oath of a credible witness who is personally known to me, as being the subscribing Witness
thereto, said subscribing Witness being by me duly sworn,
deposes and sayis: That this witness resides in
!vA . U eate, n LU 4o 10
and hat
saaiid ` it�n-ess was present' and saw
otrz0
personally knowvn to said witness to be the same person
described in and whose name is subscribed to the within
and annexed Instrument as a party thereto, execute and
deliver the same, and that affiant subscribed his/her
name to the within Instrument as a Witness.
WITNESS my hand and official seal.
Signed
r*****************•****:
VARSENIG EYZEN000REN
NOTARY PUBLIC-CALIFORNIA
SAN EERNAROINO COUNTY *
¢ My Ce nm. Exp. May 17, 1994
OFFICIAL. SEAL
(This area for official notarial seal)