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E-844 Dedication in Fee for Roadway Purposes, 10340 Orange Ave, APN 357-19-025-~ ' RECORDING REQUESTED BY: City of Cupertino WHEN RECORDED, MAIL TO: City Clerk's Office City of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 NO FEE IN ACCORDANCE WITH GOV. CODE 27383 23938901 Regina Alcomendras Santa Clara County -Clerk-Recorder 05/23/2018 08:48 AM Ti lles: 1 Fees: 10.00 Taxes: 0 Total: 0.00 Pages: 7 (SPACE ABOVE THIS LINE FOR RECORDER'S USE) DEDICATION IN FEE FOR ROADWAY PURPOSES 10340 Orange Avenue, Cupertino, CA 95014 APN 357-19-025 D Original D For Fast Endorsement "NO FEE" City of Cupertino CERTIFICATE OF ACCEPTANCE is hereby given in order to comply with the provisions of Section 27381 of the Government Code. This is to certify that the interest in real property conveyed by the deed or grant dated April 7th, 2018, from 10340 Orange Avenue, Cupertino, CA 95014 to the City of Cupertino, a governmental agency, is hereby accepted by order of the Public Works Director, and the grantee consents to recordation thereof by its duly authorized officer. Dated: By: May 17, 2018 Lauren Sapudar Senior Office Assistant DEDICATION IN FEE FOR ROADWAY PURPOSES APN 357-19-025 10340 Orange Avenue, Cupertino, CA 95014 Dongxu Lu and Feng Shi, husband and wife , as joint tenants, dedicates in fee to the CITY OF CUPERTINO, a California municipal corporation, for public purposes including, but not limited to roadway purposes , together with the right to construct, repair, operate , and maintain any and all public utilities and improvements in, on , under, along and across the real property which shall be or become necessary for preservation of the public safety, welfare or convenience, the real property described in Exhibit A and shown in Exhibit B , which is situated in the City of Cupertino , County of Santa Clara, State of California. IN WITNESS WHEREOF , executed this ·1& day of ¥ /, City of Cupertino: ~~r- Timm Borden, PE Director of Public Works (Nota ry acknowledgm ent to be attach ed) Owners: , 2018. EXHIBIT "A" RIGHT OF WAY January 30 , 2018 HMH 4893.03.441 Page 1 of 1 REAL PROPERTY in the City of Cupertino, County of Santa Clara, State of California, being a portion of that certain parcel of land described in the grant deed recorded August 12, 2015, in Document No . 23049417 of Official Records , Santa Clara County Records , described as follows: BEGINNING at the northwesterly corner of said parcel of land , being on the easterly line of Orange Avenue ; Thence along said easterly line, South 00°54'52" West, 50 .24 feet, to the southerly line of said parcel of land; Thence along said southerly line, South 89°03'08" East, 5.00 feet, to a line parallel with and 25.00 feet easterly of the centerline of Orange Avenue; Thence along said parallel line, North 00°54'52" East, 50.24 feet, to the northerly line of said parcel of land; Thence along said northerly line North 89°03'08" West, 5.00 feet, to the POINT OF BEGINNING. Containing 251 square feet , more or less . This legal description was prepared by me or under my direction in accordance with the Professional Land Surveyors Act. Date: /-3o -r f 489303PL01 -ROW.docx 1570 Oakland Road I San Jose , California 95131 I (4 08) 487-2200 I (408) 487-2222 Fax I www.HMHca.com Date: 2018-01-30 Desi ned: LA Dro wn: RF Checked: TG Pro ' En .: JC 4 89 3 0 3 PL01 w :J z w ~ w (!) z ~ POB " '..st N ci LO 3: N LO '..st LO 0 0 (/) OJ 25 . 20· 20· + ! N89'03'08"W rs.oo· RIGHT OF WAY '..st (±251 SQ FT) N ci LO w DOC 23049417 N APN 357-19-025 LO '..st ~ 0 0 z -- \_ S89'03'08"E 5.00' 1G ALCAZAR AVENUE -•- ~ l 0 15 30 LEGEND POB POINT OF BEGINNING 1 IN.= 30 FT. SHEET 1 OF 1 EXHIBIT "8" PLAT TO ACCOMPANY DESCRIPTION: 157 0 Oa k land Roa d (408) 487-2200 RIGHT OF WAY San Jose, CA 95 13 1 HMH ca.com CUPERTINO CALIFORNIA CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT A notary public or o ther officer completing thi s certificate verifies only the identity of the indiv idual who s igned the document to which this certificate is attached, and n o t the truthfulness, accuracy, or validity of that document. State of California County of q~ ~ On 1-~ ~~,,;l{))g personally appeared _~~--&~k_'~-~-~-·t~e~~--\!~IAA~------------ who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) i~subscribed to the within instrument and acknow ledaed to me that he/s~executed the same in his/her~uthorized capacity(ies), and that by his /he~signature(s) on the i~ent the person(s), or the entity upon behalf of which the person(s) acted, exec~~ instrument. I certify under PENAL TY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. l-(C~ Signature of Notary Publi c ADDITIONAL OPTIONAL INFORMATION DESCRIPTION OF THE A TT ACHED DOCUMENT (Titl e or de sc ription of attach ed document) kr-c ~evclw~ f w s. eA (T itl e or description of att hed docum nt continued) Number of Pages J:ti Document Date~ (Addit ional in forma ti on) CAPACITY CLAIMED BY THE SIGNER 0 Individual (s) 0 Corporate Officer (Titl e) 0 Partner(s) O Attorney-in-Fact 0 Trnstee(s) 0 Other ____________ _ INSTRUCTIONS FOR COMPLETING THIS FORM A11y ack11owledgmel1f completed i11 Califomia must co11 tai11 verbiage exactly as appears above i11 the 11 o ta1 y section or a separa te ack11o wledgme111 form 11111 s t be properly co mp leted and attached to that docum en t. Th e only exception is if a doc11me11t is to be recorded out side of Califomia. In such in stan ces, any altemotive ack11o wledgme11t verbiage as may be printed 011 such a document so long as th e verbiage does not require th e 110/a,y to do someth ing that is illegal for a 110ta1 y i11 Califomia (i.e. certifyin g the a uthorized capacity of th e sig11 e1). Please check the docum e11 t carefiilly fo r proper notarial wording and a f/a ch this form if required. • State and Co unty information mu st be the St ate and Co unty where the document signer(s) perso nally appeared before th e notary public for acknow ledgment. • Date o f not ari zation mu st be the date th at the signe r(s) personall y appeared which mu st a lso be th e sam e date the ac knowledgment is compl eted. • Th e notary public must print hi s or her name as it a ppears within hi s or her co mmi ss ion fo ll owed by a co mm a and then yo ur titl e (no tary public}. • Print th e name(s) of documen t signer(s) who personally appear at the time of notari za tion. • Indic ate th e correct singu lar or plural forms by cross in g off incorrect forms (i.e. l,e/she/lhey;-is /are) or circl in g th e correct forms. Failure to correctl y indicate thi s information may lead to rejection of docume nt recording . • Th e nota ry seal impression mu st be clear and photographically reproducible. Impress ion mu st not cover tex t or line s. If sea l impression smudges, re-seal if a suffi c ient area permits, oth erw ise complete a different acknow ledgment fonn. • Si gnature of th e not ary publi c mu st matc h th e signature on file with the office of th e cou nty c lerk . •!• Additional informatio n is not req uired but cou ld help to ensure thi s acknowledgment is not misused or attached to a different docum ent. •!• Indi cate title or type of attached document , number of pages a nd date. •!• Indi cate the capacity c la im ed by the signer. If the claimed capacity is a corpora te offi cer, indicate the titl e (i.e. CEO, CFO , Secretary). • Securel y attach this document to th e sign ed docu ment C 2004-20 15 ProLink Signing Service, I nc. -All Rights Reserved www.TheProLink.com -'.'Jatio nwide Notary Service CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached , and not the truthfulness, accuracy , or validity of that document. State of California } County of tS(JA(i{}-~ -~~------------} ~ za, ·]{')ti before me , On ~lA ~tN~T lNo~ ~ (Here insert name and titr e or the omcer) u personally appeared T \).JJ--tJ)--' PaJy ~ who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted , executed the instrument. I certify under PENAL TY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. " :I. JULIAKINST -· , I. Notary Public • California Santa Clara County · Commll1lon • 2177456 !: Mw Comm. Exolrta Jan 25. 2021 l Nota~~at ~ (Notary Public Seal) -~ • T INSTRUCTIONS FOR COMPLETING THIS FORM ADDITIONAL OPTIONAL INFORMATION This form compliesll'ith current California s tatutes regarding no ta ry wording and, DE SC RIPTION OF THE ATTACHED DOCUMENT ~CO-~ "'1_ ~ tr ~~ ~\1,)....()69-1;> IO ~lf-6 dlr~ Al;t- (Title or aescription of attached docu ment) MN -,s~~ n -l) JS. ...... (Title or description of attached document contin ued) Number of Pages ___2 Document Date 4 '1-"-11 CAPACITY CLAIMED BY THE SIGNER ~ Individual (s) D Corporate Officer (Title) D Partner(s) D Attorney-in-Fact o Trustee(s ) 0 Other __________ _ 20 15 Ve rsion www.NotaryClasses co m 800-873-9865 if ne eded, should be completed and al/ach ed to th e documen t. Acknoll'ledgments from other s tates may be completed for documents being sent to that s tate so long a s the ll'O rding does 1101 require th e California 11 ota1y to vio late California 11 0 1w y lm1 1. • Sta te and County information mu st be th e State and County where the d oc um ent signer(s) persona ll y appeared befo re th e notary public for acknowledgment. • Date of notaiization mu st be th e date th at th e signer(s) personally appeared whi ch mu st a lso be th e sa me date th e ac know ledgment is co mp leted. • The no ta,y public must print hi s or her name as it appears within hi s or her commi ss ion fo ll owed by a comma and th en yo ur titl e (notary publi c). • Print th e nam e(s) of docum ent s ig ner(s) who personall y a ppea r at th e tim e of notaii zati on. • Indi cate th e COtTe ct s ingular or plural fonns by crossin g off in cmTec t fonn s (i.e. lw/she/they, is /are) or circ lin g th e cotTec t fo nns. Fai lure to cmTectly indi cate thi s infonnation may lead to reject ion of document recording. • ll1e notaty sea l impress ion must be c lea r and photographicall y re produ cibl e. Im press ion mu st not cover text or lines. If sea l impress ion smudges , re-sea l if a suffi cient area pennits, othe,w ise complete a different acknow ledgm ent fonn . • S ignature of th e nota ty pub lic mu st match th e s ig nature on fil e with th e office of th e county c lerk . •:• Additional in fonnat ion is no t requi red but cou ld help to en sure thi s ac kn ow ledgment is not mi sused o r att ac hed to a d ifferent do c um ent. •:• In d icate titl e or typ e of a ttac hed docum ent, number of pa ges and date. •:• Ind ica te th e capacity c laimed by th e s igner. If th e claim ed ca pa c ity is a corporate officer, indi ca te th e titl e (i.e. CEO, CFO, Secretaty). • Sec ure ly atta ch thi s do cum ent to th e s ig ned do cum ent w ith a s tap le .