AFF-010 MAINTENANCE OF METHANE MITIGATION v20201103
RECORDING REQUESTED BY:
WHEN RECORDED MAIL TO:
Long Beach Development Services
411 W. Ocean Blvd, 2
nd
Floor
Long Beach, CA 90802
SPACE ABOVE THIS LINE FOR COUNTY RECORDER’S USE
COVENANT AND AGREEMENT
MAINTENANCE OF METHANE MITIGATION
(Pre-printed text shall not be changed except when done by an authorized Building and Safety Bureau employee.)
The undersigned hereby certify that (I am) (we are) the owner(s) of real property located in the City of Long Beach, State
of California that is hereinafter legally described (as follows) (on the attached exhibit(s) __________________________):
LEGAL DESCRIPTION:
LOT____________BLOCK_____________ TRACT______________________________________________________
as recorded in BOOK___________________PAGE___________________, Records of Los Angeles County.
This property is located and known as the following ADDRESS: ___________________________________
And, in consideration by the City of Long Beach for allowing development on the property in the methane zone, the
undersigned hereby acknowledges the following for applicable methane mitigation design levels in accordance with the
City of Long Beach municipal code:
Owner’s Name
(Please type or print)
Signature of Owner
(Signature)
Two Officers Signatures
Required for Corporation
(Signature)
Name of Corporation
(Please type or print)
Dated this day of , 20
Notary acknowledgements for each signature must be attached to this document
FOR DEPARTMENT USE ONLY:
MUST BE APPROVED BY LONG BEACH DEVELOPMENT PERMIT CENTER EMPLOYEE PRIOR TO RECORDING.
APPROVED BY ____________________________________________ ___________________________________________ DATE ____________
(Print Name) (Signature)