Laserfiche WebLink
Page 11 of 13 <br /> ii dfi�ADq�F ff: _ ft%KCr d! <br /> FJ - <br /> LrCiF'hSlt.'R t';�:wi'IrrtG'>t'cl°laz;Il�.d`I.+Si2.l.'I�fltrr <br /> 1 h€teby affirm tbac E aro Irrcnscd Lodcr 0n ptovisioas afMa.ger 4 fcammtecing%lob Seesion 79071 orOmisioa 3 of 11A Business <br /> and FrofCsiV=Cods and my Idtttse it in full fnrcc and efrecl. <br /> + Vtenrtil Eapla4tlan fate <br /> Date Caoeriaior <br /> OWNER.SIL'1[.DERDECLARATION <br /> I hereby.adfatn that P tim cxt qm 1110M the Conrraa t`s t-icemc Law for the fallownr2 rmsan(Seclior 7011.5,Ilusinmss and <br /> Prafessioos Cade: Any city or county ullirh tcy-ue¢cs a pcvnit rb congsauee•aller,mq=%T,,dleaioU%k or repsirxry suumaare,prior to <br /> Vies itau4ace,also requires.the appltraari far 64x6 W11ii w Gk a,signed tWemrnt 61a[he n Ircetutd ptrtnam[m flrc protisiaos of the <br /> Coaar+ciot's License Law 4f=Ewpter9(mmmenciM wick Seidner 70M)afDivifaasr 3 of the tloslont and PrekssiosuCodc)or that be <br /> I' is cs-a*t btrd#ana said the antis for the aii<geJ e4engk4an- Amy vialaalon of Secrim17O31,9 by any a +fitsnx fes a p�sdit iu6jcca <br /> rheapplrtanl toa civil FEWUY of mL rmre Ihtu Rdr hUndned dellitS 1154x01)- <br /> i 13 1,as oatow of etre ptaperty,or may"bytes with wages ss dwir wk coffP esadM wifl&a Lt.-wVa.and dee mucmrr is rant <br /> iorrodtd er efferod rot sale(Section 7WA.Business aid pagf<atitrm lode:Tts:coeHraavi's licetue f.ax'<:M W zP*la L16"40 <br /> of ptoprny wbn builds in bnptasea IMeiaar.a.d V&A does eta ll wkrlrY_hisnxlf or ih!Vigh Sic 4dd1t.GOrploytta.Frow"dint such <br /> iorplovexr[mrs arc t[nt mr.eded eT n(7rred for sale. [s:I+a+axsxr.the Fxrildimg ar ia�ravel7lerr is said wlR1ri31 oar yaa aC 4asttFretiatt. <br /> Iho owrm-buildtr will ha.,%t&c Lrudeaof prorimg[hat he did rot build ce iragwove far dee Dorraaa ofsalc.) <br /> O I.a ovwur of the praptrty,lett erxhrtuely caneranimg wills lioenred swnusetges rta eaerrsrael r.S.t prrijvel[,4t€tiott 7Aa4s l3rasiaass <br /> and Frufessions Code(il&PCl: The Cenotaccor's Licersse 44w does nae.appy Man our"afproperty%boballds or iatPMt.ca hereat. <br /> ! and wlww earorracts fila such ptaj€€ti wide acac7adoe(s)liegnse:d Tras.,n•W IAe Caerratalcr's f-K"re 1AVvJ <br /> iF 01 ems oxempf4ttJtr Sts€tion �„-. 7�PC:farthis rruam__ .,..,..�,. __. <br /> ��� <br /> WORKELiS'COhAPEhMkT601.4 4'aCL.kFfA'FGfy-N <br /> 16=by 2.11-is1ru11 Ease a artifieale areorsttae to wrr-iasurv.a a*mMk ea of +arkces'C'crofrcasa:ian Ftisteut e.or a terril6ad <br /> cagy thcreaf(Sectlwt 3800,utterCode), <br /> SIFIraiOam Rate 47413102 ep - <br /> 13 C€tcificd copy o Ifmhy rFytitWW <br /> O Cwtikied copy is Bled with the E.-. arrrceull l kAih Depwrinertc <br /> CEATIMATE OF E96Aff'tri401V FROK WORKERS,CONP'f£h'mT101%If URAFQCE <br /> I � I C�fttrFyrd-ne><�ci�')rrpr>�i�4hi�nem�liifa.'oerhusulrrdtloL�l'L�i <br /> 1 cctvfy shu let fire peefoamurxc of mt wort far ,h,,l Ibis persitis 1 c"md•l shal nal employ any person to aaycrenttcr w u W <br /> because n1ijeci 10 Ibe WQ*cfV Compessuian IA^of Cabrania- <br /> Daw: _..___... .._... Aupdicaoc <br /> 1XVIXE TO APPUCA'+V fr. atkr rvakiag d'rs CfAifirase.of Exemplian. you should bee*o4 subject to dee Workers' <br /> Co rtpeasatian provirracs 00-V lAbor Car6r,lva truest fdrihwith coagrly with uwb prabiri*=ar this permit sFatl?be drertted mated. <br /> I C04wSTRalp-�y1)lri LF�DL..��,r`ci�l�rr-tr <br /> J hereby a[titm tient nc�te v s cansdr-.rcft-i kiniliag ap=5,for ft"daffaattre of Ilse work me wlsicfs this pet eels is 184Ire i{Soeiian <br /> 11197,Civil COW. <br /> Lender's Naos <br /> Lender'Address <br /> DTVISTQit OF P.NPLISTRIALSAF M IFMM1T CERTICR1'i0N <br /> 0 1 hraeby<eriily d,,.m no escatttim me(S)m fore feel im depth insa which a person is requisod to descead.will be made in <br /> i <br /> €acmaerion Wilk ww%avthoairtd by thr prnruw rand that c a kuitdi ft tauctstm.scmlfaldirtg,faucwlk,to dem.tilion ix Qitreauixiiag <br /> tllimof.will be axuc than ihirty-im 1361 feet hick.IChiprer 12.Qmq L,Mirk 2.Sexism 34 t,Ulc&(7496"a Admi mb=aive <br /> • Code3 I <br /> 13 Xf GftVaec nidder•1 will not err¢Eay anyetre to do woi*whir-h w'auld require a WrIllit Cam the!Dusan of frAwrial Safely as. <br /> r' nowd aborr,ualtss sv€h pertain has a perr,dc Ia db mth work(win rhe division <br /> 13 Ulvtslo:t of In,ddstrW',artty Patttul sr _ <br />{ 1 cttd ly%u I ha.c rad this aprplrcatu*and state Mat pee above mtratt•.u+tan p corteet_1 agrcm as eaavly widh 411 city and oaatp, <br /> ordir•tnces neod state laws rcluars to writ ranstruellon mcd er"wsda sysaitxconumcdoo,and Pseeby amdNadu tcpaeseai<[tis.e[of dllta <br /> counxy to cater apoa the rbo+e-meSt63 ed properly for imrprerivr purrwtx- <br /> � �i D4sc �tpp[luat <br /> liHCs+J-o:�cYi 1it,144*0C"N'tRlri'fogs PECL VAtICih <br /> 07.9 El�it@! ff.. <br /> 7/8/2010 <br />