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Appendix C -Sample Certificate of Completion. <br />CERTIFICATE OF COMPLETION <br />This certificate is filled out by the project applicant upon completion of the landscape project. <br />PART 1. PROJECT INFORMATION SHEET <br />Date <br />Project Name <br />Name of Project Applicant Telephone No. <br /> Fax No. <br />Title Email Address <br />Company Street Address <br />City State Zip Code <br />Project Address and Location: <br />Street Address Parcel, tract or lot number, if available. <br />City Latitude/Longitude (optional) <br />State Zip Code <br />Property Owner or his/her designee: <br />Name Telephone No. <br /> Fax No. <br />Title Email Address <br />Company Street Address <br />City State Zip Code <br />Properly Owner <br />"I/we certify that I/we have received copies of all the documents within the Landscape Documentation Package <br />and the Certificate of Completion and that it is our responsibility to see that the project is maintained in <br />accordance with the Landscape and Irrigation Maintenance Schedule." <br />Property Owner Signature <br />Date <br />Please answer the questions below: <br />1. Date the Landscape Documentation Package was submitted to the local agency <br />2. Date the Landscape Documentation Package was approved by the local agency <br />3. Date that a copy of the Water Efficient Landscape Worksheet (including the Water Budget Calculation) was <br />submitted to the local water purveyor <br />33 <br />