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D-1033 Dedication in fee for Roadway Purposes, 10145 Carmen Road, Cupertino, CA 95014 APN 357-01-095
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 25989097 Louis Chiaramonte Santa Clara County - Clerk -Recorder 05/14/2026 12:57 PM Titles: 1 Pages: 7 Fees: 100. 00 Taxes: Total: 0.00 1IIIrIRLii (SPACE ABOVE THIS LINE FOR RECORDER'S USE) DEDICATION IN FEE FOR ROADWAY PURPOSES 10145 Carmen Road, Cupertino, CA 95014 APN: 357-01-095 O Original O Conformed Copy DEDICATION IN FEE FOR ROADWAY PURPOSES 10145 Carmen Road APN: 357-01-095 Wei Min Ma and Pei Li Jin, 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 I day of9Y P U e 20 jS GRANTORS: Wei in M Owner Pe Li )in Owner City of Cupertino: Chad Mosley Director of Public Works & City Engineer Public Works Department (Notary acknowledgment to be attached) "NO FEE" City of Cupertino CERTIFICATE OF ACCEPTANCE is hereby given in order to comply with the provisions of Section 27281 of the Government Code. This is to certify that the interest in real property conveyed by the deed or grant dated I/s) /2-5 from Wei Min Ma and Pei Li Jin, husband and wife as community property with right of survivorship to the City of Cupertino, a municipal corporation, is hereby accepted by the undersigned on behalf of the City Council of the City of Cupertino pursuant to authority conferred by Resolution No. 11-175 of the City Council adopted on October 4, 2011, and the grantee consents to recordation thereof by its duly authorized officer. Dated: By: Chad Mosley Director of Public Works & City Engineer Public Works Department 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 ghm MATE0 n On Not 13Ht I l , 2025 before me, 9i1yu KEtpgThTI4 ,Notary Public, (Here insert name and title of the officer) personally appeared \A*% Meta Mp t, PEI It 1 W 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 PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. RISHI KESAVATH 4. CCMM. # 2504367 m WITNE Ild al. NOTARY PUBLIC • CALIFORNIA n - SAN MATEO COUNTY Comm. Ex . NOV. 12, 2028 Signature of Notary Public (Notary Seal) ADDITIONAL OPTIONAL INFORMATION DESCRIPTION OF THE ATTACHED DOCUMENT (Title or description of attached document) (Title or description of attached document continued) Number of Pages Document Date (Additional information) CAPACITY CLAIMED BY THE SIGNER ❑ Individual (s) ❑ Corporate Officer (Title) ❑ Partner(s) ❑ Attorney -in -Fact ❑ Trustee(s) ❑ Other INSTRUCTIONS FOR COMPLETING THIS FORM Any acknowledgment completed in California must contain verbiage exactly as appears above in the notary section or a separate acknowledgment form must he properly completed and attached to that document. The only exception is if a document is to be recorded outside oJ'California. In such instances, any alternative 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 Jbr a notary in California (i.e. certifying the authorized capacity of the signer). Please check the documeni carefully for proper notarial wording and attach this. form if required. • 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. • 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. • Indicate the correct singular or plural forms by crossing off incorrect forms (i.e. he/she/they,— is /aru ) or circling the correct forms. Failure to correctly indicate this information may lead to rejection of document recording. • 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 sufficient area permits, otherwise complete a different acknowledgment form. • Signature of the notary public must match the signature on file with the office of the county clerk. • Additional information is not required but could help to ensure this acknowledgment is not misused or attached to a different document. • 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 ProLinlc Signing Service, Inc. — All Right, Reserved w,w✓.ThrProLink.com — Nauouwide Notary Service EXHIBIT "A" LEGAL DESCRIPTION FOR STREET DEDICATION PURPOSE Portions of Lots 55 and 57-A, as shown upon that certain Map entitled "Map of Inspiration Point Monta Vista", which map was filed for record in the office of the recorder of the County of Santa Clara, State of California, on April 11, 1917 in Book P of Maps at Page 18, more particularly described as follows: Beginning at a point on the southerly line of Bellevue Avenue, 40 feet wide, said point being the northwesterly corner of Lot 57-A as shown on said map, thence along said southerly line of Bellevue Avenue, South 89°53'00" East, 110.12 feet; thence along a curve to the right, through a central angle of 90°00'00", a radius of 15.00 feet, and an arc length of 23.56 feet to a point on the westerly line of Carmen Road, 40 feet wide, thence along said westerly line of Carmen Road, South 0°07'00" West, 85.12 feet to the southeasterly corner of Lot 55 as shown on said map; thence leaving said westerly line of Carmen Road, along the southerly line of said Lot 55, North 89°53'00" West, 10.00 feet; thence parallel to said westerly line of Carmen Road, North 0°07'00" East, 85.12 feet; thence along a curve to the left, through a central angle of 90°00'00", a radius of 5.00 feet, and an arc length of 7.85 feet; thence parallel to said southerly line of Bellevue Avenue, North 89°53'00" West, 110.12 feet to a point on the westerly line of said Lot 57-A; thence along said westerly line of Lot 57-A, North 0°07'00" East, 10.00 feet, to the POINT OF BEGINNING. Containing an area of 2,109.5 square feet, more or less. The land described hereon is shown on the attached plat, Exhibit "B", and is by reference, made a part thereof. End of description. 0 P 12 25 � 1.8235 Date BELLEVUE AVENUE 10' RIGHT OF WAY DEDICATION A=90`0000" -- P.O.B. AREA = 2,109.5± SF L=23.56' __ ' _--__ - �� N.89°53'00"W. 110.12' R =15.00 N.89°53'04"W. 110.12' a � N j A=9O°00'00" L=7.85' , V .— 1 c'a i R=5.O0' ' Ln C 1 I °'n° /2� W If) 1 / C.f) LOT 55 o CD o a� pi o of o 1�? I � I 25.00' 90.12 14.04' - I N.89'53'OO"W. 125.12' LG I I LOTI 5i I LOT 56 Nj F 77—Cl 1 _1 01 0 e I SCALE: 1 "=30' MAY 16, 2024 LEGEND: BASIS OF BEARINGS: P.O.B. POINT OF BEGINNING THE BEARING, NO°07'00"E, OF THE RIGHT OF WAY I`' - -- - --- PROPERTY LINE LINES OF CARMEN ROAD, AS SHAWN ON THAT CERTAIN I, - - -- PROPERTY LINE (P -M-18) MAP FILED IN THE OFFICE OF THE RECORDER OF \ CENTER LINE SANTA CLARA COUNTY, STATE OF CALIFORNIA, IN BOOK - EASEMENT LINE P OF MAPS AT PAGE 18, WAS USED AS THE BASIS LOT 5 LOT NUMBER (P -M-18) OF BEARINGS SHOWN ON THIS MAP. EXHIBIT "B" 10145 CARMEN ROAD CUPERTINO, CA Ex . 12/31/25J* NO, L8235 Li 13 W E C 26145 MIDDLEFIELD RD #658 TEL: (650) 823-6466 & S O C A ES PALO ALTO, CA 94306 FAX: (650) 887-1294 CALIFORNIA ACKNOWLEDGMENT CIVIL CODE § 1189 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____________________ } On AO(o before me, Date Here Insert Name and Titl of the Offic r personally appeared C(\ of Signer(s) who proved to me on the basis of satisfactory evidence to be the'person(s) whose name(s)re subscribed to the within instrument and acknowledged to me that h she/they ex dted the same(i hi /her/their authorized' ap'aa xj ies), and that by hi her/their signature(s) on the instrument th person( , or the entity upon behalf of which theersol'if( acted, executed the instrument. MELISSA ROBERTSON Scr-��rN ' Notary Public - California Santa Clara County Commission # 2548768 �+InoR�� My Comm. Expires Feb 24, 2030 Place Notary Seal and/or Stamp Above I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature .� Signature of Notary Public Completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer is Representing: ©2019 National Notary Association Number of Pages: Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — O Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer is Representing: