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E-770 Dedication in Fee for Roadway Purposes, 21918 Lomita Ave, APN 357-015-002 DOCUMENT: 22309854 Pages: 8 RECORDING REQUESTED BY Fees. . . . * No Fees City Cupertino I Cop es. . Cy o p p AMT PAID WHEN RECORDED MAIL TO REGINA ALCOMENDRAS RDE # 008 City Clerk's Office SANTA CLARA COUNTY RECORDER 7/19/2013 City of Cupertino Recorded at the request of 12:29 PM 10300 Torre Avenue City 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 21918 Lomita Avenue APN 357-015-002 Original 0 For Fast Endorsement DEDICATION IN FEE FOR ROADWAY PURPOSES 21918 Lomita Avenue APN 357-015-002 Felix Mendelson, a married man, as his separate property, dedicates in fee to the CITY OF CUPERTINO, a California municipal corporation, for public purposes, together with the right to construct, repair, operate, and maintain any and all public utilities and improvements 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. Ir- IN WITNESS WHEREOF, executed this I day o>tJU.VL4'—' , 2013. Owner• Fe x tr4 n City of Cupertino: Timm Borden, PE Director of Public Works (Notary acknowledgment to be attached) EXHIur "A" PERMANENT ROAD DEDICATION LEGAL DESCRIPTION APN 357-15-002 A 5.00'wide strip of land for a road dedication, being a portion of the Southwest 1/4 of Section 14,Township 7 South, Range 2 West, Mount Diablo Base and Meridian, more particularly described as follows. Beginning at the Northwest corner of Lot 85,as said Lot is shown on the map entitled"Map of Subdivision"A" Monte Vista",filed for record in Volume"P" of Maps at Page 20 in Santa Clara County Records on April 11, 1917;thence along the north line of said 'Lot East 100.30 feet to the east line thereof;thence along said east line of said Lot South 0 011'55" West 5.00 feet;thence West parallel with the north line of said Lot and 5.00 feet distant therefrom 100.30 feet to the west line thereof;thence along said west line North 0°11'46" East 5.00 feet to the Northwest corner thereof, and the Point of Beginning. All as shown on attached EXHIBIT"B" and made a part hereof and containing 501.5 sq.ft. more or less. -r n. 'Fr 770 N EXHIBI T ""B "" PERMANENT ROAD DEDICATION EXHIBIT OF LOT 85 OF THE 'MAP OF SUBDIVISION A' CITY OF CUPER TINO RECORDED IN THE COUNTY OF SANTA CLARA COUNTY, SANTA CLARA, STATE OF CALIFORNIA CALIFORNIA, IN BOOK 'P' OF MAPS, PAGE 20, ON APRIL 11, 1917, SURVEYOR'S NOTE.- THIS OTE+THIS LOT IS SERVED WITH PUBLIC WATER AND SEWER BY THE CITY OF CUPERTINO NO ON SITE EVIDENCE WAS FOUND OF A WELL OR SEPTIC TANK. REFERENCES: LEGEND: PREPARED BY RI P -MAPS -20 S. C. C. R. KEVIN BR17NSON R2 20990353 DEEDS 0 AREA TO BE DEDICATED THE BRONSON COMPANY BASIS OF BEARINGS. • 6206 EPPS DRIVE EAST BETWEEN FD MONUMENTS WINTON, CA 95388(209)606-7340 FOR THE CENTERLINE kevin@thebronsonco,com LOMITA AVENUE PER RI FD. 3/4 V LOMITA A VENUE o IN MON. WELL _ B_ASIS ❑F_ BEARINGS N FD. I" lB 120,25' _ EAST 842,36' 841.20'(R1) 12 0,15' (R l) AREA DLDICA7ED By L) PRLWOUS INS7RUMENT 0i 100.30' 100,15'(R1) ire AREA TO BE DEDICATED FOR A PERMANENT ROADWAY EASEMENT 501.5 SO. FT. w Nm EX. SINGLE CQ mN 0iM W W cNai w C5 oN coW FAMIL Y I� RESIDENCE o. co 3 0� 4`�2� uj n w m ("� _ _ cu o0 ZZ op fY, ZZ �o� ooh LOT REMAINDER 8 615 SO. FT. S�ONP N89°59'58W 100.29' WEST 100,15'(R1) ci) ALMADEN AVENUE FD. 3/4" lB N89"59'53'W 842.28' FD. 3/4" IB WEST 841,20'(R1) REFERENCES: LEGEND: PREPARED BY RI P -MAPS -20 S. C. C. R. KEVIN BR17NSON R2 20990353 DEEDS 0 AREA TO BE DEDICATED THE BRONSON COMPANY BASIS OF BEARINGS. • 6206 EPPS DRIVE EAST BETWEEN FD MONUMENTS WINTON, CA 95388(209)606-7340 FOR THE CENTERLINE kevin@thebronsonco,com LOMITA AVENUE PER RI CALIFORNIA ALL-PURPOSE I CERTIFICATE OF ACKNOWLEDGMENT t. State of California i` 3 � s County of ' --�, i 3' 1; On before me, P ' (Herz insert name and title of the officer) U A t personally appeared �� S% 1 �✓ti l tE who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/aFt-Vubscribed to €; the within instrument and acknowledged to me that he/skQ44ey executed the same in his/116;44eir authorized capaeity(ies),and that by his/ho44 eir signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. 1 I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph 3 is true and correct. i GIRISH HIRALAL PATEL WITNESS my hand and official seal. .. Comm.# 1893083 N N NOTARY PUBLIC-CALIFORNIA SANTA CLARA COUNTY r Mr COMM.ExP JUNE 25,2014' �Sl � (Notary Seal) l{ Signature of Notary Public ?' t ADDITIONAL OPTIONAL INFORMATION E INSTRtIGHONS FOR COMPLE'T'ING THIS FORM Any acknowledgment completed in Caliitomia must contain verbiage exactly as i DESCRIPTION OF THE ATTACHED DOCUMENT appears above in the notary section or a separate acknowledgment,>nnn must b._ - (— prg9erly completed and attached to that document. The only exception is if a t document is to he recorded outside of California.In such instances,uny,alternativeE 1 t�{Title or desci lion of attached document) ack:w-ledgmew r=erh;age as may be printed on,curb a document so long as the ter riage does not require the notar t=to do something that is illegal.for a notcuy in k' J Q 4/V ► CS Cal Jbrnia (i_,. cert�,ing the authorized aapuciry of the signer). Please. check the I —' --- — ---- document carefullyfor proper notarwl wording and attach this form if required (: m(Title or description of attached'do continued) • State and County information must be the State and County where the document Number of Pages DOClitrierit Date igner(s)personally appeared before the notary public for acknowledgment:. • Date of notarization must be the date that the signer(s)personally appeared which J" must also be the same date the acknowledgment is completed. (. dditional information) • '.lie notary public must print his or her namc as it appears within his or her l: 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 j 8"'InCliVlduai(s) 1ashcithey,islare)or circling the correct fortes.failure to correctly indicate this i ttformation may lead to rejection of document recording. ❑ Corporate Officer The notary seal impression must be clear and photographically reproducible.[ j Impression must nut cover text or lines.If seal impression smudges,re-scat if a g (Title) _ sufficient area permits,otherwise complete a different acknowledgment form. €` I ❑ Partner(s) • Signature nature of the notary public must match the signature on file with the office of EI I' Ite county clerk, i t i El Attorne -in-Fact i Additional information is not required but could help to ensure th s ❑ Trustee(s) acknowledgment is not misused or attached to a different document. ` Indicate title or type of attached document,number of pages and date. �. ❑ Other ,. m Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer,indicate the title(i.e.CEO,CFO,Secretary). } • s�ccurely attach this document to the signed document l i 2008'vrersinn CAPA vl2.10.07 800-873-9865 ww-w.NotaryClasses.com CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of On J before me, Date ---�-� Here Insert Name and-Title of the Officer personally appeared 1 A-` ( G n Names)of Signer(s) who proved to me on the basis of satisfactory evidence to ' - - - � be the person whose name(,) is/9(e subscribed to the GRACE SCHMlOT within instrument and acknowledged to me that Commission*19231W he/sKe/tj(ey executed the same in his/l 01/ 6ir authorized Ila Wy Notary Public-California D ca acit s and that b his/I &/t it si nature on the Santa Clara County P Y(�), Y �� 9 � Comm. es Feb 21,2(" instrument the person, or the entity upon behalf of which the person) 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. WITNESS my hand and offic al. Signature C - Z Place Notary Seal Above Signature of Notary Public OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: _ H6) ory Document Date: (W4 9=_—l�� QL _ umber of Pages: Signer(s)Other Than Named Above: ?Z1 Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑ Individual CI Individual ❑ Corporate Officer—Title(s): CI Corporate Officer—Title(s): ❑ Partner—❑ Limited ❑ General D Partner—❑ Limited ❑ General I M. ❑ Attorney in Fact ' • Cl Attorney in Fact • ❑ Trustee Cl Top of thumb here -Trustee Top of thumb here ❑ Guardian or Conservator CI Guardian or Conservator ❑ Other: C1 Other: Signer Is Representing: Signer Is Representing: 02007 National Notary Association•9350 De Soto Ave.,P.O.Box 2402•Chatsworth,CA 91:113-2402•www.NationalNotary.org Item#5907 Reorder:Call Toll-Free 1-800-876-6827 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California J�j J i County of -,.�f`� On ✓ LA4"Z 2-6fiefore me,Date J Here Insert Name d Title of the O icer personally appeared ` <`�n tt� EY�t���7 -gil Name(s)of Signer(s) e who proved to me on the basis of satisfactory evidence to be the person) whose named) igk(e subscribed to the within instrument and acknowledged to me that GRACE SCHMMID he/qK(3/tp(ey executed the same in his/000 it authorized LQ Commiasian#1923164 capacity(i94, and that by his/tr/ttr signatureJfa� on the Not q Public-California instrument the personA, or the entity upon behalf of Ab soft Clara courtly which the person ) acted, executed the instrument. Feb 21,2015 { I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my d and official seal. Signature Place Notary Seal Above Signa ure of Notary Public OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document � �,� Title or Type of Document: `.1 Q C � 11.1%�Y Rkal,L HHA�V 317— -2, Document Dater �� QL� Number of Pages: Signer(s) Other Than Named Above: ! F Vti'1-�L�Dt�S Q� Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑ Individual ❑ Individual ❑ Corporate Officer—Title(s): ❑ Corporate Officer—Title(s): ❑ Partner—❑ Limited ❑ General _ M. ❑ Partner—❑ Limited ❑ General ❑ Attorney in Fact • E_ Attorney in Fact ❑ Trustee C • '- Top of thumb here Trustee Top of thumb here ❑ Guardian or Conservator ❑ Guardian or Conservator ❑ Other: ❑ Other: Signer Is Representing: Signer Is Representing: 02007 National Notary Association•9350 De Soto Ave.,PO.Box 2402•Chatsworth,CA 91313-2402•www.NationaiNotaryorg Item#5907 Reorder:Call Toll-Free 1-800-876-6827 -NO FEE" City of Cupertino CERTIFICATE OF ACCEPTANCE is hereby given in order to comply with the provisions of Section 27383 of the Government Code. This is to certify that the interest in real property conveyed by the deed or grant dated June 11, 2013, from 21918 Lomita Avenue 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:July 9, 2013 By: Brittany Carey Senior Office A tant