E-856 Dedication in Fee for Roadway Purposes, 22350 Palm Ave, APN 357-04-056 24135974
Regina Alcomendras
Santa Clara County - Clerk-Recorder
RECORDING REQUESTED BY: 03/18/2019 08:14 AM
City of Cupertino Titles: 1 Pages: 7
Fees: $0.00
Taxes: 0
Total : 0.00
WHEN RECORDED,MAIL TO: ,III������K�t`�y�'F■i'I���'K�I� ��.�+I��Lk��h'�r i�i��� �����
City Clerk's Office
City of Cupertino
10300 Torre Avenue
Cupertino, CA 95014-3255
(SPACE ABOVE THIS LINE FOR RECORDER'S USE)
NO FEE IN ACCORDANCE
WITH GOV. CODE 27383
DEDICATION IN FEE
FOR ROADWAY PURPOSES
22350 Palm Avenue, Cupertino, CA 95014
APN 357-04-056
0 Original
0 For Fast Endorsement
DEDICATION IN FEE
FOR ROADWAY PURPOSES
22350 Palm Avenue, Cupertino, CA 95014
APN 357-04-056
William Ge and Pei Wang, husband and wife as community property with right of survivorship,
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 day of 2019.
Owners:
n
William Ge
Pei Wang
City of Cupertino:
Roger ee
Acting Director of Public Works
(Notary acknowledgment to be attached)
EXHIBIT "A"
THE FOLLOWING DESCRIBED PROPERTY IN THE CITY OF CUPERTINO, COUNTY OF SANTA CLARA, STATE OF
CALIFORNIA:
A PORTION OF THAT LAND DESIGNATED AND DELINEATED AS "PARCEL B" BY RESOLUTION NO. 5537, A
RESOLUTION OF THE CITY COUNCIL OF THE CITY OF CUPERTINO APPROVING LOT LINE ADJUSTMENT, FILED
FOR RECORD IN THE OFFICE OF THE RECORDER OF THE COUNTY OF SANTA CLARA ON FEBRUARY 6, 1981 IN
BOOK F896 AT PAGE 567, OFFICIAL RECORDS AND BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS:
BEGINNING AT THE NORTHWESTERLY CORNER OF SAID PARCEL B, THENCE LEAVING SOUTH LINE OF PALM
AVENUE ALONG THE EAST LINE OF LOT 11 AS DELINEATED UPON SAID "MAP OF LAS PALMAS MONTA VISTA"
SOUTH 0°14'24" EAST, 10.00 FEET;
THENCE NORTH 89°45'36" EAST, 25.12 FEET TO THE WEST LINE OF LOT 7 AS DELINEATED UPON SAID "MAP
OF LAS PALMAS MONTA VISTA";
THENCE ALONG SAID WEST LINE OF LOT 7 NORTH 0°14'24" WEST, 10.00 FEET TO THE SAID SOUTH LINE OF
PALM AVENUE;
THENCE ALONG SAID SOUTH LINE OF PALM AVENUE SOUTH 89°45'36" WEST, 25.12 FEET TO SAID POINT OF
BEGINNING.
CONTAINING 251 SQUARE FEET MORE OR LESS;
A PLAT OF THE ABOVE DESCRIBED DEDICATION IS ATTACHED HERETO AS EXHIBIT "B" AND BY REFERENCE
MADE A PART HEREOF.
PREPARED BY, OR UNDER THE SUPERVISION OF:
l L A Np
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* BRIEN G. HAMILTON
Brien Hamilton NO. 8484 Date
License Expires 12/31/20 s� P
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END OF THIS DESCRIPTION
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PALO * BRIEN G. HAMILTON
NO. 8484
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LEGAL DESCRIPTION
EXHIBIT„B" ROADWAY DEDICATION
DRAWN BY: BH American Baseline Company
DATE: 1/13/2019 2 PALM AVENUE, C 2464 El Camino Real-117, Santa Clara, CA 95051
APPROVED BY: BH SANTA TA CLARA COUNTY, CALIFORNIAIFO NO 408/394-9281 ph., manager.amabaco@gmait.com
FILENAME: Palm LD APN: 357 04 056
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 5't--1 4t c_(a act
On L t 1-0 before me, I�I y-f+e-,,, S ✓' C-(` ,Notary Public,
(Here insert name and title of the officer)
personally appeared l/l! I I , 2 P e t WCL
who proved to me on the basis of satisfactory evidence to be the perso 's whose nam�ois/are subscribed to
the within instrument and ies ackno=eir
s)d to me that he/she x eiecuted the same in his/hen uthorized
capaci and that by his/hergnatur n the instrument the persoELs_)')or the mi"tity upon behalf of
which the perso s acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph
is true and correct.
KIRSTEN SQUARCIA
a Notary Public-Californi Z
I
WITNESS my hand and official seal. = Santa Clara County
< Z Commission#2257322
My Comm.Expires Oct 4,2022
Signature of Notary Public 0
(Notary Seal)
ADDITIONAL OPTIONAL INFORMATION
INSTRUCTIONS FOR COMPLETING THIS FORM
Any acknowledgment completed in California must contain verbiage exactly as
DESCRIPTION OF THE ATTACHED DOCUMENT appears above in the notary section or a separate acknowledgment form must be
properly completed and attached to that document. The only exception is if a
document is to be recorded outside of California.In such instances,any alternative
(Title or description of attached document) acknowledgment verbiage as may He printed on such a document so long as the
verbiage does not require the notary to do something that is illegal for a notary in
California (i.e. certifying the authorized capacity of the signer). Please check the
(Title or description of attached document continued) document carefully for proper notarial wording and attach this form if required.
Number of Pages Document Date • State and County information must be the State and County where the document
signer(s)personally appeared before the notary public for acknowledgment.
• Date of notarization must be the date that the signer(s)personally appeared which
must also be the same date the acknowledgment is completed.
(Additional information) • The notary public must print his or her name as it appears within his or her
commission followed by a comma and then your title(notary public).
• Print the name(s) of document signer(s) who personally appear at the time of
notarization.
CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing off incorrect forms(i.e.
he/she/tke)—is/are)or circling the correct forms.Failure to correctly indicate this
El Individual(s) information may lead to rejection of document recording.
❑ Corporate Officer • The notary seal impression must be clear and photographically reproducible.
Impression must not cover text or lines. If seal impression smudges,re-seal if a
(Title) sufficient area permits,otherwise complete a different acknowledgment form.
❑ Partner(s) • Signature of the notary public must match the signature on file with the office of
the county clerk.
❑ Attorney-in-Fact Additional information is not required but could help to ensure this
❑ Trustee(s) acknowledgment is not misused or attached to a different document.
❑ Other Indicate title or type of attached document,number of pages and date.
Indicate the capacity claimed by the signer. If the claimed capacity is a
corporate officer,indicate the title(i.e.CEO,CFO,Secretary).
• Securely attach this document to the signed document
C 2004-2015 ProLink Signing Service,Inc.—All Rights Reserved www.TheProLink.com—Nationwide 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 -� '7 ?(--y a—9
On za/y before me, / r 5 ,Notary Public,
(Here insert name and title of the officer)
personally appeared ° e
who proved to me on the basis of satisfactory evidence to be the personal whose name(4 is/are subscribed to
the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized
capacity(j.4, and that by his/her/their signature,K on the instrument the person, or the entity upon behalf of
which the person(g) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph
is true and correct.
KIRSTEN SQUARCIA
WITNESS my hand and official seal. Notary Public California
Z = Santa Clara County >
^ Commission 112257322
My Comm.Expires Oct 4,2022
Signature of Notary Public (Notary Seal)
ADDITIONAL OPTIONAL INFORMATION
INSTRUCTIONS FOR COMPLETING THIS FORM
Any acknowledgment completed in California must contain verbiage exactly as
DESCRIPTION OF THE ATTACHED DOCUMENT appears above in the notary section or a separate acknowledgment form must be
properly completed and attached to that document. The only exception is if a
document is to be recorded outside of California.In such instances, any alternative
(Title or description of attached document) acknowledgment verbiage as may.be printed on such a document so long as the
verbiage does not require the notary to do something that is illegal for a notary in
California (i.e. certifying the authorized capacity of the signer). Please check the
(Title or description of attached document continued) document carefully for proper notarial wording and attach this form if required.
Number of Pages Document Date • State and County information must be the State and County where the document
signer(s)personally appeared before the notary public for acknowledgment.
• Date of notarization must be the date that the signer(s)personally appeared which
must also be the same date the acknowledgment is completed.
(Additional information) • The notary public must print his or her name as it appears within his or her
commission followed by a comma and then your title(notary public).
• Print the name(s) of document signer(s) who personally appear at the time of
notarization.
CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing off incorrect forms(i.e.
he/she/tie);-is/are)or circling the correct forms.Failure to correctly indicate this
El Individual(S) information may lead to rejection of document recording.
❑ Corporate Officer • The notary seal impression must be clear and photographically reproducible.
Impression must not cover text or lines.If seal impression smudges,re-seal if a
(Title) sufficient area permits,otherwise complete a different acknowledgment form.
❑ Partner(s) • Signature of the notary public must match the signature on file with the office of
the county clerk.
❑ Attorney-in-Fact Additional information is not required but could help to ensure this
❑ Trustee(s) acknowledgment is not misused or attached to a different document.
❑ Other Indicate title or type of attached document,number of pages and date.
Indicate the capacity claimed by the signer. If the claimed capacity is a
corporate officer,indicate the title(i.e.CEO,CFO,Secretary).
• Securely attach this document to the signed document
C 2004-2015 ProLink Signing Service,Inc.—All Rights Reserved www.TheProLinkcom—Nationwide Notary Service
�� F ' ,�
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"NO FEE"
a
City of Cupertino
i
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 February 4ffi, 2019, from
22350 Palm 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.
s
Dated 27, 2019
By: 3 5 ' ..
Senior f ice.Assistant
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