316, Expand garage into easement, Resolutions & Approval ConditionsRECORDING REQUESTED BY AND MAIL TO:
CITY OF ROLLING HILLS
2 PORTUGUESE BEND ROAD
ROLLING HILLS, CA 90274
Please . record this form with the -Registrar -Recorder's
return to:
Office and
City of Rolling Hills
2 Portuguese Bend Road
Rolling Hills, CA 90274
(The Registrar -Recorder's Office requires that the form be notarized
before 'recordation.)
Acceptance Form
STATE OF CALIFORNIA ) ss
COUNTY OF LOS ANGELES )
CONDITIONAL USE PERMIT CASE NO:
VARIANCE CASE NO.
I (We) the undersigned state:
316
I am'(We .are) the owner(s). of the real property described as follows:
Lot 87A-EF 28 Eastfield Drive, Rolling Hills, CA 90274
•
This property is the subject of the above numbered cases.
I am (We are) aware of, and accept, all the stated conditions
Conditional Use Permit Case No.
Variance Case No.
. 316
in said
I (We) certify (or declare) under the penalty, of perjury that the
foregoing is true'and correct
(Where the owner Viand applicant -are not the same-, both must sign:)
Type or print
Applicant Name . 06L, . � , - yoLi,J
Address4g / % P/LLD
City, Statebl - A ' thus (A q% `(
(—)4 I ,/li/IAA'. 4. // ..
STATE OF CALIFORNIA,
COUNTY OF LOS ANGELES
OFFICIAL SEAL
PEGGY R. MINOR
NOTARY PUBLIC • CALIFORNIA
PRINCIPAL OFFICE IN
LOS ANGELES COUNTY
My Commission Exp. Aug. 23, 1985
SS.
ON ,19 ,
before me, a under§i ned, a Notary Public in and for said State, personally appeared
.Tod.( FJ0//1N') S // gig J i?ir/D
J) /Trll 004L/N9sNeA v
known to me to be the
person-5 whose names R'ee subscribed to the within Instrument,
and acknowledged to me that The y executed the same.
WITNESS my hand and official seal.
w.i..^*♦. Conn 232—Rev. 3-64
!/ 'ar 'ubiic ih and for said State.