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Page 17 of 51
<br /> Pa.Bxsy a:
<br /> LICE\SED CDA7RACTORS DEC LA W(TION
<br /> [Lardy xfimn oboe I Jm 1u:a vcd order Ltst ptvsmmmof Clxpset 9 kommesmg w1111 Yoram 70m of Q'n,swP 1 Of the IlIt'm n
<br /> .rd Proktw.Coir aad rtY llrtrstr a m WL force and cffwl.
<br /> IJrnnse a. _ __ _ F.WIra4ap Datv,
<br /> ComintroY
<br /> I�
<br /> OWNF-R-Buhl DECLARATION
<br /> C hereby aFErm Iles I am e=.r, recur elle Cmnrxao,% facer-tie L. r. the followmi, rrasom isrcnx 1031 5, Runnci] and
<br /> Fmftssin Cede: Any city w worry whieb rtqurres a persoit to ce CI Otl,allm tmmvrc,d"Oblish.Ot mia:l OW amletare.V•-N W
<br /> a iga -els.rtt]mfa"f:Ik appww Cdr 41hh pttrta N flit It siSonl 1[aliniC011LR ft I h emw pvR -I lu dw 9rnvrfl[Inf of,*
<br /> Cm,=:u['s Liccase LOW M-113R la 9latlw:sve.0g wtdi SaLoo 70oSy o1 Oivlsivat 1411]..liuxil;ew aad I•roftaslnm C.W or rhal 3t
<br /> _ is nrnpl kr liom am the Nam f..r IIM Altod nmllaion. .Wy+icls:ion of lecutm'u31 5 yy vny 4"I,*d for a prmli9 sullen.
<br /> tht pplimm maavd pevmltyoroot m ethan lire kvntUeJddllan;SSWj)'
<br /> O
<br /> R.as owner of the prapay,x my rtmloynes oilb wages as deb sole evmpm'aUeJl,ail)da,the wwk.and lk a=Cmft d ave
<br /> itMrkmi or offered r.r sorb SSt<eon 7Rd5,[Yuinps and pmfewDes Ccdr TIw cvrntactpi v I.aursac Law dJci Dot pply to as Dana
<br /> of propemy who htdld,nr orad u'ho Cines swh work himself or through les vrm evylvlws,provsded drat ruck
<br /> _ inprovgmenu vt tort(Dreaded ar d.--1 Jte L:r%w or Tw Ott p r. u sv11 xi.lun unc ycu a(.rzplrCvn,
<br /> [Lr msw•i flet ni171Mue eht Loden ofp[a\ing that].did trot build nr smpmne fm rF.a F:rtpmse QT&O'
<br /> O I,as oanm al the peoncy,urn e.tO twIY eonvarnvg•avlh herassd rowu ors lu eorur the pa iOd(Sse[isa lDlb,Flus nrn
<br /> ad Frcfesuum Codo M&-PC): 'llc Comvch'r's Lieanse Taw dors wt appty Ia m owtmi ofpvopeny xho burl&.t fnprmts here"".
<br /> orad Wb"LrJMLL..e felt aucS Prolctt Wim a ale txteHJl hc,:med m:enual[910 ILr Cor;'fJeMl'a i.rvenae Las.'./
<br /> I am cnv`mpt nndttSe<d.n_ _ _ &WC Cot this WxAt
<br /> D.C. Oneu
<br /> WORKERS'COgSPEN&CTIOY DECLARATION
<br /> I RORby OKI"4�I I hsvracemlfi\7a aranl[sMl to a If-jasnrt,w+cneidearcaf WuekaS a'arr{cnsawn InIItiumt,w..e".14d
<br /> copy dtr nf(Sln;leon IRW,I-Odor C'etdtl.
<br /> Eptra 1.BRIO A.�/oN k'empon5 7M
<br /> — 0 Caviled copy I,,I by fuzmnhcd
<br /> D Crtlifitd cnPY a Glyd xam lbs EnvlMmMtpa.l Health Ikpa.mml
<br /> CF,RTYFIC'ATF.OF E£E-M FTION FROM NORKERS'(IISIPE'NSAT30N INSORAI.CE
<br /> lIh eM ,1 d5.sonmkW if Nel r 't .ly'nr[rh &-L-A--1JAM1 [tsnlmtLnm
<br /> I certify that m the,. femmncc ofehe»ork fur w•bich this pamit is--d.:dWi not-VI-I cry P..is soya cr uar'o
<br /> brwrt sukqul Mthe Wuilris'r-voPrnsattm LO-11 of Calsfolmo.
<br /> IFstr- Appbennt
<br /> NOTICE TO APPI WANT K oder rating tlus Cew5"W d F,t.WpuL )W,- ebu Ad baronk vA,as M she WMr V'
<br /> Cwnpcnutun ptmm.,uftheWlnr Cade,I..mus,fomimit,°Icomply w51h scch pr.v w—vtthis Perm.4n11 be deennd revnknk
<br /> CONSTRUCiIUN LENDING AOWNCY
<br /> —i Illrrebv allhm Jul there tae rar34Jc[io"IendieS agensy-LV Ib peAnAm^"^nl the work for wl"h fusgvmnl (Sri,"
<br /> :097,[1\it Code).
<br /> Eendei'a Honore
<br /> —i fender'Addrex � —�
<br /> DIVISION OF LNDUSFWAL SAM V 1'YR+/I7 Cr.RI'iCAIiON
<br /> 17 1 herby retila thu:w exeasanan fns;Si w mmr fa[m dtp[h lino wh.b o V.C.u rrlua,cd m dc>zod,ai71 4 roude a
<br /> c.liio.airs mwk oWh .d by a Permit,JM That no blalding sIww(e,w%twM1rsg,falw"4A.I.&Mn jEiuo ns 4"MAIhm;
<br /> — tlwp ,,will M Avee firm IF-my-sia r3fo feet high (Clapw 32,GmV 2..Aehcle 2,Ssaion ial,Tilt R,Calif Tu AN,"I MO
<br /> Code).
<br /> IS A:owo:v-budder,1.41 nor[OIIVI y,")ont 1.J.wvk W mch wtwld sequot.tr permm Iran me Dn-Mn nr lndumral S Ifmy,u
<br /> awkd rhvor.uNea suR,prrsov Isis a Pe,rvjl[v da n:h unrk 6.m Hkdivisiae
<br /> �Ihrvnn aflmhnrmal SnCJy Pcr,od4_ _ __ _ _
<br /> f cereity Civ'[here real 1Wa appliunon sd 1:Ot IhA lFc rMtsr n1hrtF.Jaan to torJca t.alanr ev cumpiy wmb ell r"y and cauoq.
<br /> ord.zri and skit+iswl,Ctm.S m well ran+lna mm aM 4r KwJge SYSMM e.?tllr,tretinn,Yxf hereby au[hnrse lqw 'I1Nhvp:11'O"C
<br /> ecamay,w carr vplm ibtabIwc 1wrdItusd prsn,n'y fm'r,� ionpurpotcc.
<br /> — Pak Apptleant —
<br /> i 1'ImaSObnM1I xAlRa'.vm WNI I4.wrt['�.KL-r Pn"ar+:l4.
<br /> INS'IorG
<br /> „9/2011
<br />
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