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LLA 1988-042E CITY OF LA QUINTA E PLANNING & DEVELOPMENT DEPARTMENT 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 APPLICATION FOR LOT LINE ADJUSTMENT Applicant Instructions Case No Date Received A request for a Lot Line Adjustment may be approved only if the following findings are made: 1. The adjustment involves adjacent parcels. 2. No additional parcels are created. 3. None of the parcels involved are reduced below the minimum development standards. The completed and notarized Application shall be submitted with three (3) copies of the map of record or the current assessor's map page showing the involved parcels and delineating the proposed lot line adjustment. All exhibits of the proposed lot line adjustment shall indicate the angle and the distance of each newly adjusted line. A fee of $ '7— shall be submitted with this Application. The Director of Community Development will review the Application, make a recommen- dation and schedule the case for City Council consideration. The Applicant should be present at the City Council hearing. APPLICANT: Name: Address: Cit Statel n Zip) PROPERTY OWNERS: Phone: Owner 'A' Name: L-�".2 _T. , r-,2 Address: - 3 r- Phone: City ZStatep' zip Owner 'B' Name: Address: Phone: City State zip PROPERTY DATA: Lot A: Assessor's Parcel Number: 77 3?/ ,)'c7, / 7 — �� /�� Street Address: s. � �-Ai,-g Lot B: Assessor's Parcel Number: Street Address: Y�skcr APPLICATION FOR LOT LINE ADJUSTMENT, City of La Quints. Adjustment Requested: Reason for Request: _/2 v eZ 7.5y AUTHORIZATION: I (we) certify that I am (we are) the record owner (a) of said parcels and that the information filed is true and correct to the best of my (our) knowledge. Owner 'At: Name Date Owner 'B' ^ Name Date Subscribed and Sworn to before me this day of Notary Pub F]CW S 11 ... 'i-3i.i!' � 1., ;'•phi ri Y IN `y .r hlV�fi�lOE COUNTY *� U Ccmmission Expires September 2, 1988 40 O 7r.. 9z , .5 6' "E A,0J(15*;r60 LOT UAIE zor 0.1661,90. 19DJ11STE0 13' Z = Z047 .11 O LOT 2 0. 2 3 f- f9C. 75-45 1 fe,-1l'q,C,ED eK v ra AA2. rz, E Applicant Instructions 1, CITY OF LA QUINTA PLANNING & DEVELOPMENT DEPARTMENT 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 APPLICATION FOR IX LINE ADJUSTMENT Case Na. 60 C)qa Date Received A request for a Lot Line Adjustment may be approved only if the following findings are made: 1. The adjustment involves adjacent parcels. 2. No additional parcels are created. 3. None of the parcels involved are reduced below the minimum development standards. The completed and notarized Application shall be submitted with three (3) copies of the map of record or the current assessor's map page showing the involved parcels and delineating the proposed lot line adjustment. All exhibits of the proposed lot line adjustment shall indicate the angle and the distance of each newly adjusted line. A fee of $ shall be submitted with this Application. The Director of Community Development will review the Application, make a recommen- dation and schedule the case for City Council consideration. The Applicant should be present at the City Council hearing. APPLICANT: Name: / e r r elv- .411 11 d' c( Lr �4vjS � dL Address: S a - / S % / a r!-q rl - / -� � Phone: p 1 %v tJeo:' — J a PROPERTY OWNERS: Owner 'A' Name: Address: Phone: City State LL� Zip Owner 'B' Name: %Pry L7 GN S0 Address: S -/ Ka ✓ r ,A e- L. a �L 7 6k ��G o� 07 j� Phone: G> 17 (City) State Zip PROPERTY DATA: Lot A: Assessor's Parcel Number: Street Address: Lot B: Assessor's Parcel Number: Street Address: 773- ;� I T- C /c% Y719C, 773- :,Is- 0l - -- APPLICATION FOR LOT LINE ADJUSTMENT, City of La Quints. Adjustment Requested:, �_/� ; /�� Oa ;172 it V - i, Reason for Request: o) -7_5 AUTHORIZATION: I (we) certify that I am (we are) the record owner (s) of said parcels and that the information filed is true and correct to the best of my (our) knowledge. Owner SAT: Name Date Owner I B I �Name ate �70zdqk� Subscribed and Sworn to before me this 24 day of Notary Public 0 Si 00 ��-ael6IA691- 7G.97 - ' 6 '/ l0r ZINc A0JV57r',F,d LOT , zor LOT 2 0. 231- lfc. 13' Z0,47 PkfPHPED gy Inc. ��7 ITY�-0F LA-`Q IIIH_Tl - ® CASE INFORMATION Case No. ^:c —✓a2 Application Received by C--f&L, Date Application Checked by Date Applicant: T-- c ,,_,Phone: Address Street city State Zip Code Owner:. Phone: Address: Street city State Zip Code Representative: Phone: Address: Street City State Zip Code 1. 2. 3. Subject: � .4- Location:,Ji Environmental Information E.A. No. Notice of Declaration 4. Related Files: r Vi c. .col 5, " -. E.I.R.No. Filing Fee $ E.A. Fee $ Total $ Additional Fees $ Receipts for Fees: 5. Parcel Size/Acreage " A -3-- > -=- 'r 9. Circulation Element 6. General Plan Designation �"e` ,ICA 10. Housing Element � 7. Zoning 11. Council District 8. Surrounding Zoning - — 12. Assessor's�rr,2rs 13. Tentative Hearing Date Hearing Information 14. Agency Deadline Date Date Action 15. Plot Plan Checked CC -EA 16. Legal Description PC 17. Transmittals CC 4nenry Fs "A" Notice 18. 19. 20. 21. 22. 23. General Telephone Road Department Cit of Cal Trans Count P annin Hater Qua it CVCdD Home Owners Parks Duildin De t. Health Dept. Fire Cit En sneer Other Transmittals sent by: Public Hearing Notice Date: Notice Posted by: Entered in: Counter Book: _ Applicant Notified of Action: File Closed: Page Date: Notice Mailed by: Date: Parcel Agencies Notified m 24. Additional Pertinent Information: ay L L, i Cy h¢ Ord �J ! w 78-105 CALLE ESTADO - LA QUINTA, CALIFORNIA 92253 - (619) 564-2246 June 13, 1988 County Recorder County of Riverside P. O. Box 751 Riverside, CA 92502 SUBJECT: Lot Line Adjustment No. 88-042 Dear Sir: Attached please find the Grant Deeds for Lot Line Adjustment No. 88-042. Recordation is requested by and for the City of La Quinta in accordance with Government Code #6103 to insure compliance with Zoning requirements prior to any construction taking place. Please record and return a copy of these documents to this office. Thank you. Very truly yours, MURREL CRUMP PHe G DIRECTOR erman al Planner JH:bja Atch: Grant Deeds for Lot Line Adjustment #88-042 Exhibit A cc: Ernest J. Bales, Terry & Linda Hansen File: LLA 88-042 BJ/FORM. WILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253 t y RECORDING REQUESTED B f AND WHEN RECORDED NAIL TO Terry L. Hansen and NAMX Linda L. Hansen - Aooa[U 52121 Carranza CSTA La Quinta, California SPACE ABOVE THIS LINE FOR RECORDER'S USE MAIL TAX aTATEMXNTr TO —I I Documentary transfer tax $............ None ...................... NAM[ ❑ Computed on full value of property conveyed, or Aona[rr Same as above ❑ Computed on full value less liens & encumbrances remaining thereon at time of sale. CITY 6 STATX� J Signature of declarant or agent ,letermining lux - hnn name ❑ Unincorporated area City of ............................_.... Grant Deed I PARCEL NO This form furnished by Orange Coast Title Company FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Terry L. Hansen and Linda L. Hansen, husband and wife and Ernest J. Bales, an unmarried man hereby GRANT(S) to Terry L. Hansen and Linda L. Hansen, husband and wife, as joint tenants the following described real property in the City of La Quinta county of Riverside , state of California: Lot 9 and the South 112 of Lot 8, Block 79, Santa Carmelita at Vale La Quinta, Unit No. 10, as per map recorded in Book 18 Page 70 of Maps, in the office of the County Recorder of said Riverside County. THIS DEED REFLECTS PARCEL MERGER/LOT LINE ADJUSTMENT No. 88-042AS APPROVED BY THE CITY OF LA QUINTA. " May 26, 1988 STATE OF CALIFNIA/ SS. COUNTY OF ,1n�[p� � e iq s Ct p �j On this ,( / A day of one in the year _(—tom-, before me, the undersigns a Notary Pu lic i and for said State, personally appeared B4161'sonally known to me proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to this instrument, and acknowl- edged to me that he (she or they) executed it. Signature NOTARY PUBLIC PUBLIC IN AND FOR SAID STATE Ter rrrrrrrrrrrrrrr►rrrrrrrsrrrrrrr� OFFICIAL SEAL r I INDRA LEE JU I PUBLIC-CILIFORNIA SP a NOTARY BOND FILED IN RIVERSIDE COUNTY My Commission Expires September 2, 1968 ...•,,..rrrrrrrrrrrrrrrrrrrrrrrrrq (This area for official notarial seal) T.a,T MAIL TAX STATEMENTS AS DIRECTED ABOVE. RECORDING REQUESTED le AND WHEN RECORDED MAIL TO 7 7 NAME Ernest J. Bales 52-135 Carranza ADDataa La Quinta, Cal. CITY & STATE L J r Iii TA. arAnwaNTa TO NAM[ ADDREaa Same as above CITY at STAYS SPACE ABOVE THIS LINE FOR RECORDER'S USE Documentary transfer lax $.......... None ........... .............. ❑ Computed on full value of property conveyed, or ❑ Computed on full value less liens g encumhrances remaining thereon at time of sale. .............. ..._........ ..................._........._.. _...._..................... Signature of declarant or agent determining tax - firm name _❑ Unincorporated area City of ................................... Grant Deed L This form furnished by Orange Coast Title Company PARCEL FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Ernest J. Bales, and unmarried man and Terry L. Hansen and Linda L. Hansen, husband and wife hereby GRANT(S) to Ernest J. Bales, an unmarried man the following described real property in the City of La Quinta county of Riverside , state of California: Lot 7 and the North 112 of Lot 8 Block 79, Santa Carmelita at Vale La Quinta Unit No. 10, as per map recorded in Book 18, Page 70 of Maps, in the office of the County Recorder of said Riverside County. "THIS DEED REFLECTS PARCEL MERGER/LOT LINE ADJUSTMENT No. 88-042AS APPROVED BY THE CITY OF LA QUINTA." Dated Mau 26, 1988 Dated f — _ STATE OF CALIF NIA COUNTY OF 8 day of _ - in the year Z?T , On this No Publ' iD-end for s@id Slglle, personilly before me, tl�e undersigned7a r Y' Y' aLLe�,tr personally known to me p proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to this instrument, and acknowl- edged to me that he (she or they) executed it. a Dl:cctA:. ELO:SF. C. Ti+RK NOTARY MBUCA] WQANN AtaW40AL Own= IN plane i:a cou.YLY MY Ccmmtaaba Fux ...... Dv Dune It. IN AND FOR SAID STATE Bales (This area lot onicial notarial seal) MAIL TAX STATEMENTS AS DIRECTED ABOVE. T.a'l 60 DuR�6"C�o IQo as -1 I (D O �® @ . ®�o®4 ao I rp ® r 1 ,S� Ol0 L.Cf LINE �3 N wr ume T xs ow 1 uwit 75� 90 ®9 a IIO ® ® /0 Ye _M 0 A A to EXHIBIT A — L L-A _CASE NO.f�o-o ?PEEDE'ED EDP E't!!�d��EP a DIEIISIO' Y, Lens D:STE 6 16 aE RECORDING REQUESTED BVe FE1cCD o AND WX[N R[CORD[D MAIL TO -j id .L NAME Ernest J. Bales ~ Aoo.ass 52-135 Carranza ciTy a 'La Quinta, Cal. I IL eTwr[ L J SPACE ABOVE THIS LINE FOR RECORDER'S USE MAIL TAX STATEMENTS TO --I I Documentary transfer tax 8... .......None__,._ ....... _.,...... _. NAM[ ❑ Computed on full value of property conveyed, or AOOF[O Same as above ❑ Computed on fit]] ru ll value less liens & enmbranres remaining thereon at time of sale. CiTy & STATE J Signature of derlarant or agent determining tax - firm name ❑ Unincorporated area City of — ..... Grant Deed rwac[L No This form furnished by Orange Coast Title Company FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Ernest J. Bales, and unmarried man and Terry.L. Hansen and Linda L. Hansen, husband and wife hereby GRANT(S) to Ernest J. Bales, an unmarried man the following described real property in the City of La Quinta county of Riverside , state of California: Unit No. 10, as per map recorded in Book 18, Page 70 of Maps, in the office of the County Recorder of said Riverside County. "THIS DEED REFLECTS PARCEL MERGER/LOT LINE ADJUSTMENT No. 88-042AS APPROVED BY THE CITY OF LA QVINTA." Dated May 26 1988 — STATE OF C ORNIA } SS. COUNTY OFIV,I ) 't &S f d — ) me, the under signed, a Notary Public in and for said County and Stale, personally appeared _. e,S known to me to Le erson_ _whnse name 5 subscribed tothewithin instnftne and ecknewledged that executed the same. t � Signatureta car ar -) Name (Typed or Printed) of Notary est J. Bales Terry L. Hansen FOR NOTARY SEAL OR STAMP 3as OF .CIAL S L 11 t-:01AR / UC! t C I'. ,'fiNIA f:!.--D IN RIVERtGE COUNty My Commission Expires September 2, 1988 :;p#}�:.'.; :�Yt}#}#9�}}►t4tttitY}Y'e0tt6YR Title Order No. Escrow MAIL TAX STATEMENTS AS DIRECTED ABOVE Dc�Q�.t.1�0100 J S c v 7 u• 70 0 W ?a -scatito�a i ,4d //4 Car Sec. /t • n av 0 Pr2*01 wc:�)= m 6M.-17)j FCM) libel ®®' 1 75' OLD LOT Uwe 28 N IAr Un4E 2s Ow LOT W K10—L 75� /0 (AM® /O a qq i oaf 10 0 w u] Tel so 1 u..A _CA,SEP10.a t'PIPPOLIED BY NVISION roliq 88 r Aft 6E N 1/4 Cor Sec. 12 I e DURANGO S. /O o >e \„� 8o•OG 79.94 3e 30 Zl O13 p 20 /2 2 - 045 M ZOO ® 3 = 3 3 /3 3 �° C ti 4 7 /9 ® O 4 k \4 ® l4 m �soO O O 5 2/ 215 OB/7 B B Os O a -I /B 7 5a�7O 7 a 1580 l9 B Q OBO h l� 4O 09 mgG /9 9 m h Q ;D ° Q 5a � VS ° 30 i � ° � 3e S° SONORA I n I ASSESSORS MAP BK. 773 P5• Z1 RIVERSIDE CAUNTY, GALIf. e JAI f m y•. y a� mm` ae se em ov c )s s n L �r Q •Q j m r ap • m� It od r e ✓UARIEZ 1 I y B !. O h h ti LAN © ®O ® p ® ®® o p b m N y ♦ C. to a•Nle a r r Se )• O D/AZ • I LO O + 0 Q G O (E) s O 0 N c b m v e,4 y ♦ y® h fi T ; AVENIDA RUB/O Y o ° w ® a E y s $ G)N L� u o 4 MZ2 We (9 ® ® @ (9) o ©_ �O b' m - V N3 W ♦ y h —. AVEN/DA ALVARADO Y f, o o s F: • .y``N it •L \ 3. a. �~ V 1� 2 M � ® ® ® © Q (9 G a b m v 012 y ♦ ti h r a 4PEN/DA e OORESON ° S $ 0 K A 4 4 h ®®®m ®gym © © O b m V A y ♦ y h s• •. Q B O IY 79 e • h —AVENIDA - CARRANZA ' -- a _ � H T4'it U 4 *bit PLANNING & DEVELOPMENT 78-105 CALLE ESTADO - LA QUINTA, CALIFORNIA 92253 - (619) 564-2246 1 r'i •5--50-<I42 SUBJECT: PARCEL MERGER/LOT LINE ADJUSTMENT APPLICATION COMPLETENESS DEAR li^{ CUkCi YOUR APPLICATION HAS BEEN REVIEWED AND FOUND TO BE INCOMPLETE AND THE FOLLOWING INFORMATION MUST BE SUBMITTED BEFORE PROCESSING CAN BE COMPLETED: I I APPLICATION FORM REQUIRES CORRECTION I I PROOF OF OWNERSHIP NEEDS TO BE PROVIDED (I.E., COPY OF THE ORIGINAL GRANT DEED FOR THE PROPERTY(S)) I ) NEW, ORIGINAL, UNRECORDED GRANT DEED(S) REQUIRED WITH THE FOLLOWING NOTED ON THE DEED(S): I I CORRECT LEGAL DESCRIPTION I I "THIS DEED REFLECTS PARCEL MERGER/LOT LINE ADJUSTMENT NO. AS APPROVED BY THE CITY OF LA QUINTA." I I PLANS REQUIRE CORRECTION [XI OTHER PLEASE CONTACT THIS OFFICE SHOULD YOU HAVE ANY QUESTIONS. MURREL GRUMP GtlPmdC, 1.�1'ni 'PLANNING DIRECTOR CRs�stStc+n� 111.1101 D 4*Q&tcv PLANNING & DEVELOPMENT 78.105 CALLE ESTADO - LA QUINTA, CALIFORNIA 92253 - (619) 564-2246 CASE: LLA :►1S j • SUBJECT: PARCEL MERGER/LOT LINE ADJUSTMENT APPLICATION COMPLETENESS DEAR M,r- izi0jeS YOUR APPLICATION HAS BEEN REVIEWED AND FOUND TO BE INCOMPLETE AND THE FOLLOWING INFORMATION MUST BE SUBMITTED BEFORE PROCESSING CAN BE COMPLETED: [ I APPLICATION FORM REQUIRES CORRECTION I I PROOF OF OWNERSHIP NEEDS TO BE PROVIDED II.E., COPY OF THE ORIGINAL GRANT DEED FOR THE PROPERTY(S)1 [ I NEW, ORIGINAL, UNRECORDED GRANT DEED(S) REQUIRED WITH THE FOLLOWING NOTED ON THE DEEDS): I ) CORRECT LEGAL DESCRIPTION [ 1 "THIS DEED REFLECTS PARCEL MERGER/LOT LINE ADJUSTMENT N0, AS APPROVED BY THE CITY OF LA QUINTA." I I PLANS REQUIRE CORRECTION IX OTHER PLEASE CONTACT THIS OFFICE SHOULD YOU HAVE ANY QUESTIONS. MURREL CRUMP PLANNING DIRECTOR GV0A,0,dnAS (01c"ja lDUnis p(an c_/ R6GORDINO RZQUEggb 6Y N OT �L 12 J 1� r� AND WNRN RdCoonso NAIL TO NANaf Terry L. Hansen and Linda L. Hansen ADomes 52121 Carranza oet;n L La Quinta, California r RAIL TAa aTAW"NT1I TO I NANa Same as above Crn aL' NTAI� 71 *PACE ABOVE TWIG LINK POR RKODRDMR'6 U69 Documentary transfer tax i............Mon e,,,,,,,,,,,,,,,,,,,,,, ❑ Computed on full value of property vonveyed, or ❑ Computed on full value less lien & eneumhrancei remaining thereon at time of sale. _.-, c•.a:c:,c....v.....•.•�'_•_:.Yu•e:_+•_.�nn:rs ....,..:...... A - Signalure of delaranl or agent determining tax . firm name - J' ❑ Unincorporated area City of .................................. Grant Deed L This form furnished by Orange Coast Title Company FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Terry L. Hansen and Linda L. Hansen, husband and wife and Ernest J. Bales, an unmarried ran FARCJLL NO. hereby GRANT(S) to Terry L. Hansen and Linda L. Hansen, husband and wife, as joint tenants the following described real property in the City of La Quinta county of Riverside , state of California: Lot 9 and the South 112 of Lot 8, Block 79, Santa Carmelita at Vale —_ La Quinta, Unit No. 10, as per map recorded in Book 18 Page 70 of Maps, in the office of the County Recorder of said Riverside County. " THIS DEED REFLECTS PARCEL MERGER/LOT LINE ADJUSTMENT No. AS APPROVED BY THE CITY OF LA QUINTA. " May 26, 1988 STATE OF CALIFORNIA ( Ss. COUNTY OF On this day of in the year before me, the undersigned, a Notary Public in and for said Slate, personally appeared ❑ personally known to me ❑ proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to this instrument, and acknowl- edged to me that he (she or they) executed it. NOTARY PUBLIC IN AND FOR SAID STATE (Thle arse for official notarial seel) T.a,T MAIL TAX STATEMENTS AS DIRECTED ABOVE. le T-iht U 4fa" PLANNING & DEVELOPMENT 78.105 CALLE ESTADO - LA QUINTA, CALIFORNIA 92253 - 1619) 564.2246 DATE: G / I I CASE: LLA LOT #S: (-� : �� c) S Z 1 Z Cat c sun lcxJ� -79 _ �V1nfiG SUBJECT: PARCEL MERGER/LOT LINE ADJUSTMENT APPLICATION COMPLETENESS DEAR A --c- n Jsnrs i ha���1; YOUR APPLICATION HAS BEEN REVIEWED AND FOUND TO BE INCOMPLETE AND THE FOLLOWING INFORMATION MUST BE SUBMITTED BEFORE PROCESSING CAN BE COMPLETED: I I APPLICATION FORM REQUIRES CORRECTION I ) PROOF OF OWNERSHIP NEEDS TO BE PROVIDED (I.E., COPY OF 'THE ORIGINAL GRANT DEED FOR THE PROPERTY(S)) I 1 NEW, ORIGINAL, UNRECORDED GRANT DEED(S) REQUIRED WITH THE FOLLOWING NOTED ON THE DEED(S): I I CORRECT LEGAL DESCRIPTION I I "THIS DEED REFLECTS PARCEL MERGER/LOT LINE ADJUSTMENT NO. AS APPROVED BY THE CITY OF LA QUINTA." I I PLANS REQUIRE CORRECTION [XI OTHER PLEASE CONTACT THIS OFFICE SHOULD YOU HAVE ANY QUESTIONS. MURREL CRUMP / r� PLANNING DIRECTOR C-Alee� �I �I S �PcS�s(5 �� y—�c tn✓1P�i> A . 0 RECORDING RgQUMZO U AND WNW RKORDZD MAIL TO f 7 NAME Ernest J. Bales Aconites 52-135 Carranza CITY aI La Quinta, Cal. L�. I STATE J MA1E TAX STATEMEMTE TD NAME ADDResa Same as above CITY is STATE L SPACE ABOVE THIS LINK POR IYKODRDER'B USE Documentary transfer tax,$ .......... NOR e.................. ❑ Computed on full value of property conveyed, or ❑ Computed on full value leas lien, @ enrumhrancen remaining thereon at time of male. J..................................................................................:......... Signature of declarant or aFest determining tax - firm name ❑ Unincorporated area Gilt o/. ____.._ _ __ Grant Deed PARCEL Now This form furnished by Orange Coital Title Company FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Ernest J. Bales, and unmarried man and Terry L. Hansen and Linda L. Hansen, husband and wife hereby GRANT(S) to Ernest J. Bales, an unmarried man the following described real property in the City of La Quinta county of Riverside state of California: Lot 7 and the North 112 of Lot 8 Block,79, Santa Carmellta at vale La Quinta Unit No. 10, as per map recorded in Book 28, Page 70 of Maps, in the office of the County Recorder of said Riverside County. "THIS DEED REFLECTS PARCEL MERGER/LOT LINE ADJUSTMENT No. AS APPROVED BY THE CITY OF LA QUINTA.rr Dated Mau 26 1988 e-e4�� /I Ernest J. Bales Terry L. Hansen STATE OF CALIFORNIA 1 --- COUNTY OF )t SS. On this day of beforeme, the undersigned, a Notary Public to and forsaid ,in the year d State aDPeaeered personally I ❑ personally known to me ❑ Proved to me on the basis of satisfactory evidence to be the Person whose name is subscribed to this instrument, and acknowl. I ' edged to me that he (she or they) executed it. •t I�Lir Cols-�, �� � •h_t� �� nc>t��.n3� cb Signature NOTARY PUBLIC IN AND FOR SAID STATE r.an (This Ara for olllclal notarial seal) MAIL TAX STATEMENTS AS DIRECTED ABOVE.