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Page 45 of 51 <br /> Sas ARbnrai:.—_ -__ _ _ PgsMtT u: <br /> LICENSeOCONTRACTORS DSCI.ARATION <br /> 1hachry.aaldN dent0 ase le drddodwxla the ptwisinmofChapurn(coarvarmine 1113SCCIuo 700ti1 ofDfridws 3 nfabe Dus,ness <br /> dad F.Tf oam Csdb and my Issmr bin pill force deed efftea. <br /> — tseensex_ Erpiealan Unte <br /> Data cowmecer <br /> OwNER-BUILDER DECLARATION <br /> I hereby affirm lids: i am eaarnpc from the Coopocmr's Licence law for the Nlowxg read"t.Satim ?Wi.5, Ba Ir as ad <br /> Prafmincw Code. Any mty ar wuaty whish erquirm a pravul eo tattmltcL alxL eRprave,dCTIMPI K Or repair my+":.tare,prim w <br /> iva amtvnce,a4o required rhe upplRwe for such want,ed file a signed sDaement Guo he it Ikowd pmsueu m rhe provision of the <br /> Cowr vr's.I.1cen5914.(onow 9 tcoark ainxrh Section?NO)of'Avtslen 7 of dm Dusims and Prafcc Code)or Oar be <br /> u ease"twofman odd the basis foe the alleged eatrnphoa Any Woladon ofSeeum N31 5 by any appleanl(01 a,permit dmbfocu <br /> Ibe app9iant to acini MWIty oflad,=a,Nan doe huaLed"Ldgg 45500))� <br /> 4 a,as o%oge of rbe prapewy,or my gnMloaees w th wagas ad Lam sole wnprensaa da,wall eo the wmlr,and the aln#Nro is ewe <br /> ielend+i or o0erad for sale(Sntlmi?Ata,Bi sLxss aM Fdnfcabms Cade Tbr aormaeur s Lieer¢e law docs cal apply go,as oumer <br /> of pmpeM who builds.oc wVroaw gbeaaan,and wbo JM sash wait biendelf or shaonh his own eraploye i,provided the;nth <br /> improyemame are nw imetut:e!or of[aed fm ulb. If,hawu.Ce.eho butldmg as mryaavelsxrd is mIJ within ox year M,wtspknay <br /> — th oxrer-botMa xill have dr'LutJral W waving dot br 813 nw h,dlJ a vry>ia,•e far 4sc pupnu M ulr./ <br /> t3 f,ea wmra of th fv.May,am eiebaoaly Canancnng with oodaseJ coaRartcad to e.nedei Eae projeei(S m 70:1.Deendred <br /> and Fmfessiorn Code l8RPC7. 2La CanmaeLW s Larmx Law docs oo[gtpfy ro m rnrner of pmpesry Nho bal6ds ar Impends baton. <br /> and who canelrneb fa such projeea w"h a eonttaotor(s1 Lmaaed pmsuanr to she CeEbadoe's License Lav) <br /> O l.vn carmpq a Jce Stcuorn__. Dd:M for this rearm _ <br /> Dale: Owner_ <br /> — WORKR7 'COMPL9ATSOIC DECLARATTOY <br /> f LaCby affnm tha;1 bzse a urtfeara ofconum in telpidme,or Trenton..m a ccraified <br /> iterroflS --tion 30M.Lahnr Cadr) <br /> K andrnglen Date_ C>ttspany <br /> —'� M Coddled copy la bereby fwriakcd <br /> O Cradled copy it tiled wiN Ibe Layean akflRl orallft rie meardeet <br /> CERTIPICAT'E OF E1(EMPTION/7l W0RKI',R,9'COMPENSATION INStiRANCE <br /> C9ltaswvgmwbeednar ns.a..mplal�f irlrrrsaTago�ia-&kgnklakirdfnWefla;I AIt SIJ as) <br /> I oea fy ahat in lbe pcdomaeed ofthe xgfa for xbkb this permed cn issue$I thou m Cmploy any prion In adry moaner teat in <br /> bnrome sssbjecr in the workers CanpeMRim La'whof Cali fwola. <br /> Date, Appliuol <br /> — NOTIrE TO APPLIC'.TNT: V. alar sealing mu Ceo lcata of Exemption,, yen 1hauld become subjeel to the s1'oekeri <br /> eanparvaide ps. eddddd ofO.Ulan,Coda you goer Wthwtch comply with each paavduc or dlo parrots.mall le dewed mgkM- <br /> CONSTRUCTION f.E\DLNG AGENCY <br /> fimrebivil tlsal rhere bacarcwmcaiea lrlvRinR aecwewyior lbs.parfarnaace oftlte garb farwbch fhb permti+fso:cdly'tion <br /> — .'.WT.Civet Codci <br /> Lender's Native <br /> Lemdrr'AddttO <br /> DRTgION OF INDMILIALSAM YPtRMITCERT+CATION <br /> O 1 bcrcsy"achy time me excadmaan five(5)or come feet N depth am wbich a penton s agmired m de%erd,eviR be dadc m <br /> mleectlmt,.tth wok authorize by on, remut,dad Ilan no boildmg suoceue.suRibhfie.falrewaek,or demnUlien at dooketnlNrya <br /> (hence[will be more then thirty-ox(M)ten blah.1Ceapler 3.2,(3rno,2,Ared Ic 2,Season 341,Title a.Cali!in Admiebamre <br /> Cale). <br /> — 11 At t Wl wt ewlay onyrNe m do work wh%l xvWd rego,rc a vomit Iron ahs Dvoion of InO,wnlal Safny,as <br /> noted shave,-.dear nneh erassn'uIt a permit Io do such dzA from the d Y.i on. <br /> m u.N....d I sali"n"e Akry Pemer. <br /> I Ceatpi that I lwre real dsls snpltunon ani dux slut rhe abode WeaNttmn b coeece I agree so comply Wath n0 dty m'caanW <br /> ordinaxes aM,rase lawn ge"stirg m wdl awrtauawn as.!or uwagr onto.�t cam¢weiom.and hariFY bnslxgiu ropec+entntncs of lfiia <br /> oomty ro en;a upon the above•memicmpd property fm lWecbon purposca. <br /> Darn Applitane <br /> Cilre 63.oaae! ILZa2aa3 <br /> — 'Xaa Will hrmr Cerri,clar llplurchm_Yil1 <br /> I. <br /> )/^011 <br />