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312, Construct a tennis court & gaz, Resolutions & Approval ConditionsFor Recorder's use 85-W04922 RECORDING REQUESTED BY AND MAIL TO: CITY OF ROLLING HILLS 2 PORTUGUESE BEND ROAD ROLLING HILLS; CA 90274 RECOI' IN OFFICIAL RECORDS R .JRDER'S OFFICE `LOS ANGELES COUNTY CALIFORNIA Q MIN' 8 A.M.AUG 29 1985 PAST. Pleaserecord this form with the -Registrar -Recorder's Office and FEE $7 return to: City of Rolling Hills 2 Portuguese Bend Road Rolling Hills, CA 90274 (The Registrar -Recorder's Office requires before recordation.) STATE OF CALIFORNIA ) COUNTY OF LOS ANGELES ) CONDITIONAL USE PERMIT CASE N0: 312 VARIANCE CASE NO. that the form be Acceptance Form ss I (We) the undersigned state: I am.(We are) the owner(s). of the real property described as follows: notarized J Oe e©� ch/a7 This property is -the subject of the above numbered cases. I am (We are) aware of, and accept, all the stated Conditional Use Permit Case No. Variance Case No. 3 conditions in said I (We) certify (or declare) under the penalty. of perjury that the foregoing is true'and correct: - r.' (Where the owner:and applicant.are not the same; both must sign.) Type or print (D A L G A-c G 11-M . f r ea gJ - 4 /) J) ht� %� (oq ado,, re. -ha e c.;•t_i_LLS,O6uP,`� Applicant Name Address City, State Signature Owner Name Address City, State Signature This signature must be acknowledged by a • notary public. Attach appropriate acknowledgement. $ 2 5- 0