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V i ce
To Accompany the Ai,p 1 ido 4
in the Fouthsic!.-- ;tjr,j
of Op.
TIWCKl.E-DC1NN PIZ t'tiILII - I :Iis-.RTCT
Applicant Name: Jack Cowden Dr4
HJ IJF-
subdivision: Sierra Meadows Unit:--.4 Lot: 155
Assessor's Parcel No. I-)C C
Building Permit No. i _VDate Issued: County vvt1,1.--,,i•
TDPUD Application No. 2125 Date Issued:
With reference to he!;olution 118109 of the Tru(-kL'(]!-Doijtjer Public Utility Listrict,
the f0ll0winj information is present'.Al:
Circle One
1. I have a valirl builtlilvj permit I -OF I-Im" k')I)vf captioned proporty. YES; N 0'
NZ1111-2 on Permit:
for compl,
of the rI I., -,I
r U 0 11 fur L I I- , I 1,o')V 2 (1 i I I I
II'v, bo'llIn JA i,q- to this dnt_c
Will ueqin witliji, 1-0 days of this date YES Nt,
1"ll !'t h0gin withill r10 11,17i.-, of this date YES)
I. I -c:a;i mv,,L all r,quirumt!nU; of Resolution #!jlo'i YES NO
I have CUITIplvtvd the affidavit &-companyir!q this; form, and will
return it in tIv-- enclosed envelope YES N 0
:()I1q,1eU- the enclosed affia.,vit r,,j tjp! roIj()wiIj,j reason:
7. r h'svo the following
Condlients-
+
f
J
Signature of Applicant
Date
f7e. ',, r -.A
'10 1:H11M IT ,.L\Y
I:'.
At FINC
i � , !: 1 ::,. i �., ; , I i 1, i: ; i. I ! I': - , , '. . , .
Affidavit of Ownership and Finam:ial i:bility
To Accompany the Application fur water service
in the southside Area
of the
'rRUCKEE-DONNER PUBLIC UTILITY DISTRICT
riuy i Applicant Name:t-lUr i rv„t c,
subdivision: Unit: Lot: ----
Assessor's Parcel No.
It.s•99
Building Permit No.-17.72c-f I _ Date Issued: , tt/gJ i'ounty; wi..
TDPUD Application No. Date Issued:
I, the undersigned, do hereby swear that I am the record owner of the parcul as
described above and the project described in the Truckee -Donner Public Utility
Uistrict Application . I do also certify that the County of NCuApA
has issued a building permit for same, and it is still valid.
I further acknowledgu receipt of Resolution 014109, and have read said iesolution,
and understand the terms and conditions for water service in the Southside area
as implemented by Fx-olut.ion #8109.
I further state and affirm that the financial arrangements nuce!;sary to initiate
and complete the project described in the .?pplication for Service anJ the Build-
ing Permit as shown above have been made, are. complete and sufficient so that the
project may proceed forthwith, and further ,;tate that the estimated construction
start date is Mp.� tg$j _ The estimated project compietion date is
Under penalty of perjury, I state that the above are true an'l corroct to the best
of :,ry knoarledge and ability as of this f` t clay of tom, , , __ 1981.
Signature of Applicant Witness (Authorized Umpluyee r,f the
Truckee -Donner P.U.D. or Notary Public)
Date Date
tIUTE: Signature must be notarized if affidavit to be mailed.
For District Use Only:
Date Received:
Date Application Issued: y� — _ _ Date Application Voided:
Fees Paid: CUne4c[lun: Facilities: Tapping:_
t,i A)" Current App', i :a. -A f( I W I! c I vice
tl:,-. !,I';, i I,.:;I I ion. for `.'at ,t I—., ic,:
i:, tho `:ou,,!;::jdc Area
Applicant Name: Stjqi Morimoto
subdivision: --Ponderosa Palisades
LJn_4L:L,ot:----
Assessor ParCel
Building F'rl'.1it Vin -7t
-!71 NcaoljL.
TLAIUD Applivation Nu. 1752 Datu Issued:
With refurunce to RuSOIULiOli 0,8109 Of the TruLk-,t_--DoraAur Public Utility ; istrict,
the following information is presunted: ctrclo one
1. 1 hIVC A Valid bUlldih-j I,-Irllit 11)r LAW Nu
I L
of t d
C 1 11
11 1,, ,ij, i I i,jr to this date
l;i 1! :,qin within 60 daYS of this ditLl'
WiI2 :, �t );,:gill within (,(-) (!aYS of this date <Efs"7) No
.1. 1-can mo"t ail I...;uil-mulits of 16:snlutioji 0,109 YE.;
5. I haVV th,- aLI i,IZIVit. IC1 -01WII!V i !III chi:; farm, and wilt
return it ii: th- vi. -11I.,.-od tonv,lopu G5>NU
6. I calillut COI-31-1-tv the affid.tvit for the following
Like fullc�,Wllvj
RMUL". r _01k, cric,
Signature of A119, I.I. Date
Yc CJe� 1
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Affidavit of ownership and Financial Ability
To Accompany the Application for Water Service
in the Southside Arr,.r
of the:
TRUCKLE-DONNlR PUBLIC UTILITY DISTRICT
ii.-I)trrt Y'lnt l::
Applicant Name:
Subdivision: c1*1.1 Moadow:'' Unit: -1 Lot: 30
Assessor's Parcel :Jo.
Building Permit No. c J Da Le Issued: , /, County: i,
TDPUD Application No.]?lJ Datr I:;sued: 1
I, the undersigned, do hereby swear that: I am the record owner of the parcel as
described above and the project descrihed in tire Truckee -Donner Public Utility
District Application 8 ,) /•; I do also certify that the County of
has issued a builuing puimiL for same, and it is still valid.
I further acknowledge recc-ipt of Resolution 08109, and have read said resolution,
and understand the terms and conditions for water service in the Southside area
as i:plemented by Resolution #alo9.
I further state and affirm that Lhe financial tirauyements necessary to i:,itiaLe
and complete the project described in Lhe App.l ir.ation fc,r Service and th,r Build-
ing Permit a:: shown above have hcen made, atn complete and sufficient co that the
project may proceed forthwith, and further stati� that the estimated construction
start date is _ _ The estimated Nroject completion date ifi
Under penalty of perjury, I state that the above are tru,_ and correct to the best
of rty knowlt,jgo and ability as of thi.:: _ _ day of 1' _ 1981.
igrlature of Applicant
NOTE: siynature must be not
For District Use onitf:
Date Received:
Date Application Issued:
Fees Paid: Connection:
STATE OF CALIFORNIA
COUNTY OF__ SS.
On —. — before rrM, the under-
signed, a Notary Public in and for said County and Slate. personally
appeared ._
known to me
to be the person -whose name _subscribed to the within
instrument and acknowledged that executed the same.
r
rNtlClal SfRI
1� R"TH F_ I'MTO
Generai Acknowledgement
form 0 984
•
State Current Ai,, i --ant
Tu r sorvi,:,!
in
TRUCK_U-ljC!MEIi 1-'::,!,' .1 i. 1 AL. —
Applicant (Jame:_ Hollurt YantiZ7
Subdivision: Unit: .1 Lot
Assessor's Parcel No.
Builclinj Permit No. Date- lj:,ued:
TDPUI) Application No. Date Issued:
With reference to Resolution 08109 of the Truckee -Donner Public Utility District,
the following iiaurniation in presorted: Circle One
1. 1 have a valid L,uildinq permit f,-,r the above captioned prop-tty. YES 1110
Name on Permit:
2. made all iw,!Lary finan -1al arr-1111p1moliLs f,w completion
YES NO
-.onstriwtion f,)t the above i bod 1 1 1
11-Is bt�quxl priol to this NO
Will be tin within t 0 days of this date YES 1*140
Will not 1,12(jill within 60 day.,; of this date jm NO
4 1-can meet all requirements (A Resolution ftal09 YES 14U
Ii,-* completed div altidavit �icccjmpallyiiiq tjjiii form, a10 will
L,,l!:, it in thu uncloiied envulop
6. 1 cannoL complete the ei,clused alfidavit for the followitirl rc:.L:;()Ji:
7. 1 have the followinq comments:
Signature of Applicant Date
Stat,*,f Currvnt Ai plicint for vlater*-vic7a
',company thu Application for Water Servi..••
in the Suuthside Area
of the
TRUCKEE-DONNER PUBLIC UTILITY DISTRICT
Applicant Name: James McElrath
Ponderosa Palisades West
Subdivision: Unit: 1")t:
-
Assessor's Parcel No.
Building Permit No. _ !• ,':_! _-1—� Date Issued:
TDPUD Application No. 1928 _ Date Issued:
With reference to Resolution #8109 of the Truckee-Dowwr Public Utility District,
the following information is presented:
Circle One
1. I have a vali:_' building permit fur thy• above captioned prup•rty.
YES NU
Nance on Permit:
2. I have made all necessary financial arran•jcments for Completion
of tht: project duscribod abuvc
YEIS170
3. Cunstruct.ion for the above described project
leas le<jun prior Lo Lhis data
YES 170
%-Jill Levin within GO days of this date:
Y1:S NO
Will not begin within GO play:, of this date
YLS NO
d. l-can meet all requirements of Resolution @8109
YL.; N:O
S. I have cuwl:lctc•-i Lite affidavit aauum;,.tn7i11l this; fora, oral will
i'uturn it in th, enclosed euvulopt.
YES Nu
G. 1 dannut camp1L.:0u Lhe unclosed affidavit for the followinq reason:
7. I have the following comments: _ i _<� f:�. l
Signature of Applicant Date
Affidavit of Ownership and Financial Ability
To Accompany the Alplication for Water Service
in the Southside Area
of the
TRUCKEE-DONNER PUBLIC UTILITY DISTRICT
1, tins . >k'I:11-:, tli
Applicant Name: _
i, „ .., i%d i r:.1d-.:; W,.!;!
Subdivision: J� Unit: _ Lot:__
Assessor's Parcel No. r A
Building Permit No. Date Issued: County:
TDPUD Application No. Date Issued:
I, the undersigned, do hereby swear that. I am the record owner of the parcel as
described above and the project described in the Truckeo-Donner Public Utility
District Application tf I do also certify that the County of
has issued a building permit for same, and it: is still valid.
I further acknowledge receipt of Resolution Olo9, and have read said resolution,
and understand the terms and conditions for water service in the Southside area
as implemented by lw.,;olution 08109.
I further state and affirm that the financial arran'.iemunt:; necef;.;ary to initiate
and complete the project described in the Application fur Service and the Build-
ing Permit as shown above have been made, are complete and sufficiunt so that tlae
project may proceed forthwith, and further state that the estimated construction
start date is The estimated project completion date is
Under penalty of perjury, I state that the above are true and correct to the best
of my knowledge and ability as of this day of 1901.
Signature of Applicant
E
Witness (Authorized Employee of the
Truckee -Donner P.U.D. or Notary Public)
Date Date
NOTE: Signature must be notarized if affidavit to ha mailvd.
For District Use Onlu:
Date Received:
Date Application Issued:
Fees Paid: Connection:
Date Application voided:
Facilities. Tapping: