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Contracts & Agreements_147-2023
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Contracts & Agreements_147-2023
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Last modified
8/24/2023 2:05:01 PM
Creation date
8/24/2023 2:04:52 PM
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Contracts & Agreements
Subject
Land Use
Details
Pharmacy Site Restrictions and Conditions
Date
8/24/2023
Document Number
147-2023
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DOC #2023-0208557 Page 5 of 5 <br />CALIFORNIA ACKNOWLEDGMENT <br />CIVIL CODE § 1189 <br />A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document <br />to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. <br />State of California <br />On j (... 31 „ 2 z)4 3 before me, iVMh mak4zv; � 4© I vy pc,,ii, i' <br />Date Here Insert Name and Title of the Officer <br />County of <br />} <br />personally appeared 3 i)(?YLA ( 11 Hem(y <br />Name(s) of Signer(s) <br />who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed <br />to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their <br />authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity <br />upon behalf of which the person(s) acted, executed the instrument. <br />NEDA MAHDAVI <br />Notary Public • California <br />Orange County <br />Commission R 2312057 <br />My Comm. Expires Nov 9, 2023 <br />Place Notary Seal and/or Stamp Above <br />I certify under PENALTY OF PERJURY under the <br />laws of the State of California that the foregoing <br />paragraph is true and correct. <br />WITNESS my hand and official4//seal. <br />Signature <br />OPTIONAL <br />/z,- <br />Signature o IViStary Public <br />Completing this information can deter alteration of the document or <br />fraudulent reattachment of this form to an unintended document. <br />Description of Attached Document <br />Title or Type of Document: <br />Document Date: Number of Pages: <br />Signer(s) Other Than Named Above: <br />Capacity(ies) Claimed by Signer(s) <br />Signer's Name: Signer's Name: <br />❑ Corporate Officer — Title(s): ❑ Corporate Officer — Title(s): <br />❑ Partner — ❑ Limited ❑ General ❑ Partner — ❑ Limited ❑ General <br />❑ Individual ❑ Attorney in Fact ❑ Individual ❑ Attorney in Fact <br />❑ Trustee ❑ Guardian or Conservator 0 Trustee 0 Guardian or Conservator <br />O Other: 0 Other: <br />Signer is Representing: Signer is Representing: <br />©2019 National Notary Association <br />
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