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Issued May 24, 1989 <br /> <br />COMMENTS: <br /> <br /> Your response to this self-Inspection Is required by law as <br /> set forth In Pleasanton Resolution No. 89-XXX as adopted <br /> by the Pleasanton CIty Council in 1989. Any person who <br /> wilfully states as true any material herein which they <br /> know to be false may be guilty of perjury! <br /> <br /> Failure to return this form and correct deficiencies <br /> within thirty (30) days, may result in legal recourse. <br /> <br /> Dated [ ........................... ] <br /> I declare under penalty of perjury that the foregoing Is <br /> true and correct. <br /> <br />Print Responsible Party Name [ ..............................................................................................] <br />Signature of Responsible Party [ ..............................................................................................] <br /> <br />If you wish help with this inspection ~ this box [ ], or call 484-8114 Page 3 <br /> <br /> <br />