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Permit number:
Parcel identification:
The undersigned hereby gives notice that construction will be terminated on the following project on February 29, 1996.
The Notice of commencement was recorded on ______________, 20 __ in .
In accordance with the applicable laws, the following information is provided in this Notice of Termination.
Description of property:
General description of improvement:
Owner:
Address:
Interest in property:
Name and address of fee simple titleholder (if other than Owner): NOT APPLICABLE,
Contractor:
Surety:
Amount of bond: $ ( & no/100 dollars)
Lender:
Person designated by the Owner upon whom notices or other documents may be served upon:
Dated: _______________
_________________________
OWNER
Sworn to and subscribed before me by OWNER: