324, Convert a covered patio into a, Resolutions & Approval ConditionsFor Recorder's use
36 *444598-
RECORDING REQUESTED BY AND MAIL TO:
CITY OF ROLLING HILLS
2 PORTUGUESE BEND ROAD
ROLLING HILLS; CA 90274
RECORDED IN OFFICIAL RECORDS
RECORDER'S OFFICE
LOS ANGELES COUNTY
CALIFORNIA
1 pasT. 9 A* El APR 10 ' 1986
Pleaserecord this form with the -Registrar -Recorder's
return to:
City of Rolling Hills
2 Portuguese Bend Road
Rolling Hills, CA 90274
(The Registrar-Recorder'a Office
before recordation.)
Office and
requires that the form be notarized
• :Acceptance Form
STATE OF CALIFORNIA ) ss
.COUNTY OF LOS ANGELES )
CONDITIONAL USE PERMIT CASE NO.
VARIANCE CASE NO. 324
1 (We) the undersigned state:
I am"(We are) the owner(s)• of the realproperty described
as follows:
r
This property is the subject of the above numbered cases.
I am (We are) . aware of, and accept, all the statedconditions in said
Conditional Use PermitCase No.
Variance Case No. 324•
I (We) certify (or declare) under the penalty. of "perjury that the
foregoing is true' and correct:-
(Where the ownerand applicant are not the same, both must
Applicant N
Address
City,. State
Signature
Owner N
Address
City, State
Signature
This signature must
be acknowledged by a
rotary public. Attach
appropriate acknowledgement.
ype or print
sian.)
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COUNTY OF STATE OF CALIFORNIA �06 f4'1y�
+✓�t 1-* } SS.
On �.e'l'' - % / acre before me, the under-
` signed Notary Public, personally appeared
1-
- m ( e) (proved to me on the basis of satisfactory
m evidence) to be the person whose name jS eubscribed
co to the within instrument and acknowledged that StiC executed the
same.
O
SAV 193 (7/82)
/
SEAL
86- 444598
iL' VA 3W sal eSe eeiuWuSeFgV c..W:.P.S" s
OFFICIAL SEAL
JOI* LAW Er CE NEWHOUSE
ROTARY PUBLIC - CALIFORNIA
PRINCIPAL OFFICE IN
LC 3 ANGELES COUNTY
My Commissi3n Exp. Feb. 3, i'W) c.{}„-
TO 1944 CA (8-74)
(Individual)
i
Id
re.
W
eTii ,
Id
J
n
STATE OF CALIFORNIA
COUNTY OF LOS ANGELES
on March 31, 1986
State, personally appeared John J.
to be the person whose name
is
} SS.
86- 444598
ragTITLE
AND TRUST INSURANCE
ATICOR COMPANY
before me, the undersigned, a Notary Public in and for said
Lyons
, known to me
subscribed
to the within instrument and acknowledged that
executed the same.
WITNESS my hand and official seal.
Signature
OFFICIAL SEAL
JOANNA L EMMETT
NOTARY PUBLIC - CAUFORNtA
LOS ANGELES cOUtiTY
My comm. expires !MR 18, ICU
i
(This area for official notarial seal)