Fill - Free fillable COVENANT AND AGREEMENT RECORDATION OF TECHNICAL DOCUMENTS (City of Long Beach California) PDF form

AFF-006 RECORDATION OF TECHNICAL DOCUMENT 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

RECORDATION OF TECHNICAL DOCUMENTS

(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, agree with findings of the City of Long Beach by action of ___________________ , dated _____________________

requiring the recording of the following technical document(s) consisting of:

_________________________________________________________________________________________________

This covenant and agreement shall run with all of the above described land and shall be binding upon ourselves, and

future owners, encumbrances, their successors, heirs or assignees and shall continue in effect until released by the

authority of the Building Official of the City of Long Beach upon submittal of request, applicable fees and evidence that

this covenant and agreement is no longer required by law.

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)

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