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Document Number _Z
H C, 2 i 1 P <_! A A County of
lV - / P , California
Brief Legal Description %''Z V_T&- `r
APN:
CORNER TYPE COORDINATES
(Optional)
Government Corner ❑ Control F] N.
Meander ❑ Property ❑ E.
Rancho ❑ Other ❑ Zone NAD27 ❑ NAD83 ❑
Date of Survey d5 NAD83 EPOCH
�• �.�3Z• �9. Elev.
JA,v'\ S Ie L. G I Vert. Datum: NGVD 29 ❑ NAVD88 ❑
Include: Sec., TWp., R e. & Meridian or Rancho Ce- Meas. Units Metric ❑ Imperial ❑
Corner — Left as foun Found and tagged ❑ Established ❑ Reestablished ❑ Rebuilt .®
Identification and type of corner found: Evidence used to identify or procedure used to establish the corner:
A description of the physical condition of the monument as found and as set or reset( D °'
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SURVEYOR'S STATEMENT
This Corner Record was prepared by me or under my direction in conformance with
the Land Surveyors' Act on /����/
Signed �;,,�
.T 5, 7 L.S. Number � ' »
COUNTY SURVEYOR'S STATEMENT
This Corner Record was received and examined
and filed
Signed Deputy- County Surveyor
County Surveyor's Comment
W
Rev A (2105)
Page 1 of 2 1 U
11
0
No. 7691
Exp. 12-31-16 ))
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